Physiological Parameter Measuring Platform Device

ABSTRACT

A device obtains a series of measurements of a physiological parameter of one or more patients. The device displays a monitoring workflow home screen when the device is operating within a monitoring workflow. The device displays a non-monitoring workflow home screen when the device is operating within a non-monitoring workflow. The device displays a continuous workflow home screen when the device is operating within a continuous workflow. The monitoring workflow home screen, the non-monitoring workflow home screen, and the continuous workflow home screen are each different.

RELATED APPLICATION

The present application is related to U.S. patent application Ser. No.12/751,579 filed on Mar. 31, 2010, the entirety of which is herebyincorporated by reference.

BACKGROUND

Health care practitioners, such as nurses and physicians, use varioustypes of health-care equipment to assist with the task of providinghealth care to a patient, also referred to herein as a health-carerecipient. Some health-care equipment, referred to as single functionequipment, is designed to perform a particular function, such astemperature measurement. Some health-care equipment, referred to asmulti-function equipment, is designed to implement the performance ofmore than one function, such as temperature measurement and bloodpressure measurement. Such multi-function equipment may impose excessbulk and/or weight upon a user if such multi-function equipment is usedfor only one function or a subset of the functions implemented by themulti-function equipment.

SUMMARY

In one aspect, a physiological measuring platform (PMP) devicecomprising: a central processing unit (CPU) that is configured tocontrol operation of the PMP device; a display screen; and a set of oneor more computer readable data storage media storing softwareinstructions that, when executed by the CPU, cause the PMP device to:obtain a series of measurements of a physiological parameter of amonitored patient when the PMP device is operating within a monitoringworkflow; display, on the display screen, a monitoring workflow homescreen when the PMP device is operating within the monitoring workflow,the monitoring workflow home screen containing a first representation ofthe physiological parameter of the monitored patient, the firstrepresentation based on a measurement in the series of measurements;obtain a measurement of the physiological parameter of each patient in aseries of patients when the PMP device is operating within anon-monitoring workflow; and display, on the display screen, anon-monitoring workflow home screen when the PMP device is operatingwithin the non-monitoring workflow, the non-monitoring workflow homescreen containing a second representation of the physiological parameterof a given patient in the series of patients, the second representationbased on the measurement of the physiological parameter of the givenpatient in the series of patients; obtain a continuous measurement ofthe physiological parameter of the monitored patient when the PMP deviceis operating within a continuous workflow; and display, on the displayscreen, a continuous workflow home screen when the PMP device isoperating within the continuous workflow, the continuous workflow homescreen containing a third representation of the physiological parameterof the monitored patient, the third representation based on themeasurement of the physiological parameter of the monitored patient;wherein the monitoring workflow home screen, the non-monitoring workflowhome screen, and the continuous workflow home screen are each different.

Another aspect includes a method for performing physiological parametermeasurements for a plurality of patients, the method including:displaying, by a physiological measurement platform (PMP) device, asettings screen on a display screen, the settings screen enabling a userto select a workflow within which the PMP device is to operate; when thePMP device is operating within a monitoring workflow: obtaining, by thePMP device, a series of measurements of a physiological parameter of amonitored patient; and displaying, by the PMP device, a monitoringworkflow home screen on the display screen, the monitoring workflow homescreen containing a first representation of the physiological parameterof the monitored patient, the first representation based on ameasurement in the series of measurements; when the PMP device isoperating within a non-monitoring workflow: obtaining, by the PMPdevice, a measurement of the physiological parameter of each patient ina series of patients; and displaying, by the PMP device, anon-monitoring workflow home screen on the display screen, thenon-monitoring workflow home screen containing a second representationof the physiological parameter of a given patient in the series ofpatients, the second representation based on the measurement of thephysiological parameter of the given patient in the series of patients;and when the PMP device is operating within a continuous workflow:obtaining, by the PMP device, continuous measurements of a continuousphysiological parameter of the monitored patient; and displaying, by thePMP device, a continuous workflow home screen on the display screen, thecontinuous workflow home screen containing a third representation of thecontinuous physiological parameter of the monitored patient, the thirdrepresentation based on a continuous measurement in the continuousmeasurements.

Yet another aspect includes a computer-readable storage mediumcomprising software instructions that, when executed, cause aphysiological measurement platform (PMP) device to: obtain a series ofmeasurements of a physiological parameter of a monitored patient whenthe PMP device is operating within a monitoring workflow; display, onthe display screen, one of a plurality of workflow home screens, each ofthe workflow home screens being configured to address a different typeof workflow; when a continuous workflow home screen is selected: obtaina continuous measurement of the physiological parameter of the monitoredpatient when the PMP device is operating within a continuous workflow;and display, on the display screen, the continuous workflow home screenwhen the PMP device is operating within the continuous workflow, thecontinuous workflow home screen containing a representation of thephysiological parameter of the monitored patient, the representationbased on the measurement of the physiological parameter of the monitoredpatient, the continuous workflow home screen including: an SpO2 framedisplaying an oxygen saturation percentage and a pulse amplitude blipbar indicating a pulse beat relative pulse amplitude; an etCO2 framedisplaying a numeric value representing etCO2 and a Capnogram waveform;an RR frame displaying a numeric value representing respirations perminute, wherein the aging is shown by changing a display color of theepisodic data when an age of the data reaches a threshold.

DESCRIPTION OF THE DRAWINGS

FIG. 1 is a block diagram illustrating an example system for collectingmeasurements of physiological parameters of patients.

FIG. 2A illustrates a view of an example physiological parametermeasuring platform (PMP) device.

FIG. 2B illustrates an example user interface displayed on a userinterface display of the PMP device of FIG. 2A.

FIG. 3A illustrated an example continuous workflow home screen.

FIG. 3B illustrates an example monitoring workflow home screen.

FIG. 3C illustrates an example spot check workflow home screen.

FIG. 3D illustrates an example triage workflow home screen.

FIG. 3E illustrates an example alternative view of a patient's SpO2level.

FIG. 3F illustrates the example monitoring workflow home screen when analarm is active.

FIG. 3G illustrates the example monitoring workflow home screen when analarm is active and when an alarm sound for the alarm has beentemporarily silenced.

FIG. 4 illustrates an example patient selection screen.

FIG. 5 illustrates an example review screen.

FIG. 6A illustrates an example intervals pane of a settings screen.

FIG. 6B illustrates an example device pane of the settings screen.

FIG. 6C illustrates an example clinician pane of the settings screen.

FIGS. 6D-6F illustrate example profile panes of the settings screen.

FIG. 6G illustrates an example advanced pane of the settings screen.

FIG. 7A illustrates an example global pane of an alarms screen.

FIG. 7B illustrates an example temperature pane of the alarms screen.

FIG. 7C illustrates an example NIBP pane of the alarms screen.

FIG. 7D illustrates an example SpO2 pane of the alarms screen.

FIG. 7E illustrates an example pulse rate pane of the alarms screen.

FIG. 8 illustrates an example SpO2 frame of the continuous workflow homescreen.

FIG. 9 illustrates an example SpHb frame of the continuous workflow homescreen.

FIGS. 10A-10B illustrate an example etCO2 frame of the continuousworkflow home screen.

FIGS. 11A-11B illustrate an example IPI frame of the continuous workflowhome screen.

FIGS. 12A-12B illustrate an example RR frame of the continuous workflowhome screen.

FIGS. 13A-13B illustrate an example NIPB frame of the continuousworkflow home screen.

FIG. 14 is a flowchart illustrating an example operation performed bythe PMP device.

FIG. 15 is a flowchart representing a continuation of the operation inwhich the workflow selection input indicates the triage workflow.

FIG. 16 is a flowchart representing a continuation of the operation inwhich the workflow selection input indicates the continuous workflow.

FIG. 17 is a flowchart illustrating an operation performed by the PMPdevice when the PMP device displays a workflow home screen.

FIG. 18 illustrates example physical components of the PMP device.

DETAILED DESCRIPTION

Embodiments of the present invention are directed to a physiologicalparameter measuring platform (PMP) device having a user interfaceconfigured to operate within and transition between a plurality ofworkflows. These workflows can include a continuous workflow, amonitoring workflow, and a non-monitoring workflow.

In the following detailed description, references are made to theaccompanying drawings that form a part hereof, and in which are shown byway of illustrations specific embodiments or examples. These embodimentsmay be combined, other embodiments may be utilized, and structuralchanges may be made without departing from the spirit or scope of thepresent disclosure. The following detailed description is therefore notto be taken in a limiting sense and the scope of the present disclosureis defined by the appended claims and their equivalents.

Referring now to the drawings, in which like numerals refer to likeelements through the several figures, aspects of the present disclosureand an example computing operating environment will be described.

FIG. 1 is a block diagram illustrating an example system 100 forcollecting measurements of physiological parameters of patients. Asillustrated in the example of FIG. 1, the system 100 comprises anElectronic Medical Records (EMR) system 102, an interface system 104, aset of client devices 106A-106N (collectively, “client devices 106”),and a network 108.

The network 108 is an electronic communication network that facilitatescommunication between the client devices 106 and the interface system104. An electronic communication network is a set of computing devicesand links between the computing devices.

The computing devices in the network use the links to enablecommunication among the computing devices in the network. The network108 can include routers, switches, mobile access points, bridges, hubs,intrusion detection devices, storage devices, standalone server devices,blade server devices, sensors, desktop computers, firewall devices,laptop computers, handheld computers, mobile telephones, and other typesof computing devices. In various embodiments, the network 108 includesvarious types of links. For example, the network 108 can include wiredand/or wireless links.

Furthermore, in various embodiments, the network 108 is implemented atvarious scales. For example, the network 108 can be implemented as oneor more local area networks (LANs), metropolitan area networks, subnets,wide area networks (such as the Internet), or can be implemented atanother scale.

The EMR system 102 is a computing system that allows storage, retrieval,and manipulation of electronic medical records. As used herein, acomputing system is a system of one or more computing devices. Acomputing device is a physical, tangible device that processes data.Example types of computing devices include personal computers,standalone server computers, blade server computers, mainframecomputers, handheld computers, smart phones, special purpose computingdevices, and other types of devices that process data.

Each client device in the set of client devices 106 is a computingdevice. The client devices 106 can provide various types offunctionality. For example, the set of client devices 106 can includeone or more PMP devices (such as the PMP device 200). In addition, theset of client devices 106 can include one or more wall-mounted devices.Such wall-mounted devices can have similar functionality to the PMPdevice 200 but are stationary instead of portable.

In addition, the set of client devices 106 can include one or moremonitor devices. Such monitor devices can display representations ofphysiological parameters, but do not directly obtain measurements of thephysiological parameters from patients. A monitor device could, forexample, be used by a clinician to monitor the physiological parametersof multiple patients.

The client devices 106 can communicate with each other through thenetwork 108. In various embodiments, the client devices 106 cancommunicate various types of data with each other through the network108. For example, in embodiments where the set of client devices 106includes a set of PMP devices and a monitor device, each of the PMPdevices can send data representing measurements of physiologicalparameters of patients to the monitor device. In this way, the monitordevice can display representations of physiological parameters to aclinician.

The interface system 104 is a computing system that acts as an interfacebetween the EMR system 102 and the client devices 106. In someembodiments, the interface system 104 is a Connex system. Different EMRsystems have different software interfaces. For example, the EMR systemused by two different hospitals can have two different softwareinterfaces. The interface system 104 provides a single softwareinterface to each of the client devices 106.

The client devices 106 send requests to software interface provided bythe interface system 104. When the interface system 104 receives arequest from one of the client devices 106, the interface system 104translates the request into a request that works with the softwareinterface provided by the EMR system 102. The interface system 104 thenprovides the translated request to the software interface provided bythe EMR system 102.

When the interface system 104 receives a response from the EMR system102, the interface system 104 translates the response from a format ofthe EMR system 102 to a system understood by the client devices 106. Theinterface system 104 then forwards the translated response to anappropriate one of the client devices 106.

The client devices 106 can send various types of data to the interfacesystem 104 for storage in the EMR system 102 and can receive varioustypes of data from the EMR system 102 through the interface system 104.For example, in some embodiments, the client devices 106 can sendmeasurements of physiological parameters to the interface system 104 forstorage in the EMR system 102. In another example, a monitor device canretrieve past measurements of physiological parameters of patients fromthe EMR system 102 through the interface system 104.

FIG. 2A illustrates a view of a PMP device 200. The PMP device 200 isclassified and referred to as a portable monitor platform device. ThePMP device 200 includes multiple health care equipment (HCE) modules.Each of the HCE modules is configured to measure one or morephysiological parameters of a health-care recipient, also referred toherein as a patient.

A temperature measurement module 212 is accessible from the front sideof the PMP device 200. An oxygen saturation (SpO2) module 214 and anon-invasive blood pressure (NIBP) module 216 are accessible from a lefthand side of the PMP device 200. An upper handle portion 220 enables thePMP device 200 to be carried by hand. Other modules, such as thosedescribed below, can also be used.

A front side of the PMP device 200 includes a display screen 218 and anouter surface of the temperature measurement module 212. The temperaturemeasurement module 212 is designed to measure the body temperature of apatient. As used in this document, a “module” is a combination of aphysical module structure which typically resides within the PMP device200 and optional peripheral components (not shown) that typically attachto and reside outside of the PMP device 200.

The temperature measurement module 212 includes a front panel 212 a. Thefront panel 212 a has an outer surface that is accessible from the frontside of the PMP device 200. The front panel 212 a provides access to awall (not shown) storing a removable probe (not shown), also referred toas a temperature probe, that is attached to a probe handle 212 b. Theprobe and its attached probe handle 212 b are tethered to thetemperature measurement module 212 via an insulated conductor 212 c. Theprobe is designed to make physical contact with a patient in order tosense a body temperature of the patient.

A left hand side of the PMP device 200 includes an outer surface of theSpO2 module 214 and an outer surface of the NIBP module 216. The SpO2module 214 is a HCE module designed to measure oxygen content within theblood of a patient. The NIBP module 216 is a HCE module designed tomeasure blood pressure of a patient.

As shown, the SpO2 module 214 includes a front panel 214 a. The frontpanel 214 a includes an outer surface that is accessible from the leftside of the PMP device 200. The front panel 214 a includes a connector214 b that enables a connection between one or more peripheral SpO2components (not shown) and a portion of the SpO2 module 214 residinginside the PMP device 200. The peripheral SpO2 components resideexternal to the PMP device 200. The peripheral SpO2 components areconfigured to interoperate with the SpO2 module 214 when connected tothe SpO2 module 214 via the connector 214 b. In some embodiments, theperipheral SpO2 components include a clip that attaches to an appendageof a patient, such as a finger. The clip is designed to detect andmeasure a pulse and an oxygen content of blood flowing within thepatient.

As shown, the NIBP module 216 includes a front panel 216 a having anouter surface that is accessible from the left side of the PMP device200. The front panel 216 a includes a connector 216 b that enables aconnection between one or more peripheral NIBP components (not shown)and a portion of the NIBP module 216 residing inside the PMP device 200.The peripheral NIBP components reside external to the PMP device 200.The peripheral NIBP components are configured to interoperate with theNIBP module 216 when connected to the NIBP module 216 via the connector216 b. In some embodiments, the peripheral NIBP components include aninflatable cuff that attaches to an appendage of a patient, such as anupper arm of the patient. The inflatable cuff is designed to measure thesystolic and diastolic blood pressure of the patient, the mean arterialpressure (MAP) of the patient, and the pulse rate of blood flowingwithin the patient.

The PMP device 200 is able to operate within one or more workflows. Aworkflow is a series of one or more tasks that a user of the PMP device200 performs. When the PMP device 200 operates within a workflow, thePMP device 200 provides functionality suitable for assisting the user inperforming the workflow. When the PMP device 200 operates withindifferent workflows, the PMP device 200 provides differentfunctionality.

When the PMP device 200 is manufactured, the PMP device 200 isconfigured to be able to operate within one or more workflows. After thePMP device 200 is manufactured, the PMP device 200 can be reconfiguredto operate within one or more additional workflows. In this way, a usercan adapt the PMP device 200 for use in different workflows as needed.

In various embodiments, the PMP device 200 operates within variousworkflows. For example, in some embodiments, the PMP device 200 canoperate within one or more of a continuous workflow, a monitoringworkflow, and/or a non-monitoring workflow. Example types ofnon-monitoring workflows include, but are not limited to, a spot checkworkflow and a triage workflow.

In example embodiments, the names for the workflows can be defined bythe user. For example, the user can rename a “triage workflow” as “ED 3North” or any other nomenclature as desired to provide more context tothe user.

When the PMP device 200 is operating with the continuous workflow, thePMP device 200 obtains a series of measurements of one or morephysiological parameters of a single monitored patient continuously overa period of time. The continuous measurements can be taken over shortintervals, such as 1 millisecond, 0.5 second, 1 second, 2 seconds, etc.In addition, the PMP device 200 displays, on the display screen 218, acontinuous workflow home screen. The continuous workflow home screencontains a representation of a physiological parameter of the monitoredpatient. The representation is based on the continuous measurementstaken by the PMP device 200.

When the PMP device 200 is operating within the monitoring workflow(sometimes referred to as “intervals monitoring”) the PMP device 200obtains a series of measurements of one or more physiological parametersof a single monitored patient periodically over a period of time. Theseperiodic measurements can be taken at intervals such as 1 minute, 2minutes, 5 minutes, 10 minutes, 15 minutes, 1 hour, 2 hours, 4 hours, 12hours, etc. In addition, the PMP device 200 displays, on the displayscreen 218, a monitoring workflow home screen. The monitoring workflowhome screen contains a representation of a physiological parameter ofthe monitored patient. The representation is based on at least onemeasurement in the series of measurements.

A representation of a physiological parameter is a visible imageconveying information about the physiological parameter. For example,when the PMP device 200 is operating within the monitoring workflow, thePMP device 200 can obtain a temperature measurement of a single patientonce every ten minutes for six hours. In this example, the PMP device200 displays a monitoring workflow home screen that contains arepresentation of the patient's body temperature based on a most recentone of the temperature measurements. In this way, a user of the PMPdevice 200 can monitor the status of the patient.

When the PMP device 200 is operating within a non-monitoring workflow,the PMP device 200 obtains a measurement of one or more physiologicalparameters from each patient in a series of patients. In addition, thePMP device 200 displays a non-monitoring workflow home screen on thedisplay screen 218. The non-monitoring workflow home screen contains arepresentation of the physiological parameter of a given patient in theseries of patients. The representation is based on the measurement ofthe physiological parameter of the given patient.

In one example, when the PMP device 200 is operating within a spot checkworkflow, the PMP device 200 obtains blood pressure measurements from aseries of previously-identified patients. In this other example, the PMPdevice 200 displays a spot check workflow home screen containing a bloodpressure measurement of a given patient in the series ofpreviously-identified patients. In this way, a user of the PMP device200 can perform spot checks on the blood pressures of patients who havealready been admitted to a hospital.

As used in this document, a patient is a previously identified patientwhen the PMP device 200 stores information regarding the identity of thepatient. In another example, when the PMP device 200 is operating withina triage workflow, the PMP device 200 can obtain a single blood pressuremeasurement from each patient in a series of unidentified patients asthe patients arrive at a hospital.

In this example, the PMP device 200 displays a triage workflow homescreen containing a representation of the patients' blood pressure basedon the single blood pressure measurements of the patients. In this way,a user of the PMP device 200 can perform triage on the series ofunidentified patients as they arrive. As used in this document, apatient is an unidentified patient when the PMP device 200 does notstore information regarding the identity of the patient.

The home screen for each type of workflow can be different to optimizethe information shown. In some examples, the continuous monitoringworkflow home screen displays measurements not shown in other workflows,such as SpO2, PR, etCO2, Fraction of inspired CO2 (FiCO2), IPI, RRand/or SpHb. In addition, the continuous monitoring workflow can displayboth continuous and episodic measurements. See FIGS. 13A-13B describedbelow.

In some embodiments, the monitoring workflow home screen includes atleast one user-selectable control that is not included in thenon-monitoring workflow home screen. In other embodiments, arepresentation of a physiological parameter in the monitoring workflowhome screen has a different size than a representation of the samephysiological parameter in the non-monitoring workflow home screen.

FIG. 2B illustrates an example user interface displayed on the displayscreen 218 of FIG. 2A. The PMP device 200 outputs and displays userinterfaces discussed in this document on the display screen 218.

FIG. 3A illustrates an example continuous workflow home screen 250. ThePMP device 200 displays the continuous workflow home screen 250 whilethe PMP device 200 is operating within a continuous workflow.

As described herein, the continuous workflow is designed for obtaining acontinuous series of physiological measurements associated with anidentified patient over a period of time.

As shown in the example of FIG. 3A, the continuous workflow home screen250 includes a device status area 312, a navigation area 318, and acontent area 270.

The device status area 312 contains data regarding a status of the PMPdevice 200. In the example of FIG. 3A, the device status area 312includes text that identifies a clinician (“Patricia Jones”) and ahealth care facility location (“West 4A”). A current time of day value(“19:31”) is located towards the center of the device status area 312. Adate value (“Jul. 3, 2012”) is located to the right side of the time ofday value. A remaining time of a battery (“1:10”) value is located atthe right side of the device status area 312.

In one example, the device status area 312 also includes a workflowindicator 252 that provides the user with an indication of the currentworkflow configuration for the PMP device 200. In this example, theworkflow indicator 252 indicates that the PMP device 200 is in the“Continuous” workflow configuration. Other examples can include“Monitoring” and “Spot Check.”

The PMP device 200 is functionally connected to one or more sensors thatenable monitoring of at least one physiological parameter that isassociated with a patient. Typically, each sensor is physically attachedto the patient while the PMP device 200 is operating within thecontinuous workflow. Examples of these sensors include a respirationrate (RR) probe, an SpO2 probe, and an end tidal CO2 (etCO2) probe thatare each attachable to the PMP device 200 as described above.

The content area 270 illustrates the various measurements taken by thePMP device 200 while in the continuous workflow configuration. Theexamples include an IPI frame 254, a SpO2 frame 256, an NIBP frame 257,a SpHbv frame 258, an RR frame 262, an etCO2 frame 264, a pulse rateframe 265, and a temperature frame 267.

The continuous workflow home screen 250 also includes a patientinformation section 260 that provides information about the patient. Asdescribed herein, such information can include patient name, roomnumber, age (e.g., adult or child), etc.

The navigation area 318 of the continuous workflow home screen 250includes a home tab 318 a, a patients tab 318 b, an alarms tab 318 c, areview tab 318 d, a settings tab 318 e, and an applications tab 318 f.The home tab 318 a, the patients tab 318 b, the alarms tab 318 c, thereview tab 318 d, the settings tab 318 e, and the applications tab 318 fare referred to herein collectively as the screen tabs 318. Selection ofscreen tabs 318 b-318 f causes substitution of the monitoring workflowhome screen 300 with another screen associated with the screen tabs 318b-318 e. For example, the PMP device 200 displays a patient screen whena user selects the patients tab 318 b.

FIG. 4, discussed elsewhere in this document, illustrates an examplepatient selection screen. Furthermore, the PMP device 200 displays analarms screen when a user selects the alarms tab 318 c. FIGS. 7A-7E,discussed elsewhere in this document, illustrate an example alarmsscreen. Furthermore, the PMP device 200 displays a review screen when auser selects the review tab 318 d. FIG. 5, discussed elsewhere in thisdocument, illustrates an example review screen.

Furthermore, the PMP device 200 displays a settings screen when a userselects the settings tab 318 e. FIGS. 6A-6G, discussed elsewhere in thisdocument, illustrate an example settings screen. When the PMP device 200displays a screen other than the monitoring workflow home screen 300 anda user selects the home tab 318 a, the PMP device 200 displays themonitoring workflow home screen 300.

The PMP device 200 displays applications that have been installed on thePMP device 200 when the applications tab 318 f is selected. Applicationscan be installed on the PMP device 200 to enhance the functionality ofthe PMP device 200. One example of such an application is a body massindex (BMI) calculator that allows the caregiver to calculate a BMI onthe PMP device 200. When the applications tab 318 f is selected, a listof the installed application is provided, and one or more of theapplications can be launched by selecting the application. Additionaldetails regarding a PMP device including such applications is providedin Patent Cooperation Treaty Application No. PCT/US2010/045814 filed onAug. 17, 2010, the entirety of which is hereby incorporated byreference.

FIG. 3B illustrates an example monitoring workflow home screen 300. ThePMP device 200 displays the monitoring workflow home screen 300 whilethe PMP device 200 is operating within a monitoring workflow. Themonitoring workflow is designed for obtaining a series of physiologicalmeasurements associated with an identified patient over a period oftime.

The PMP device 200 is functionally connected to one or more sensors thatenable monitoring of at least one physiological parameter that isassociated with a patient. Typically, each sensor is physically attachedto the patient while the PMP device 200 is operating within themonitoring workflow. These sensors include a temperature probe, a SpO2clip, and a NIBP blood pressure cuff that are each attachable to the PMPdevice 200 as described above.

As shown in the example of FIG. 3B, the monitoring workflow home screen300 includes the device status area 312, the navigation area 318, and acontent area 320. The content area 320 is divided into a parameterreporting area 314 and a patient attribute area 316.

The parameter reporting area 314 includes one or more parameterreporting frames. Each of the parameter reporting frames contains arepresentation of a different physiological parameter for a patient. Therepresentations are based on one or more measurements of thephysiological parameters of a monitored patient. In addition, each ofthe parameter reporting frames contains an alarm reporting area. Thealarm reporting areas specify upper alarm limits and lower alarm limitsfor the physiological parameters. The upper alarm limits and the loweralarm limits define the alarm ranges for the physiological parameters.Alarms associated with the physiological parameters are active whenmeasurements of the physiological parameters are outside the alarm rangefor the physiological parameters.

In the example of FIG. 3B, the parameter reporting area 314 contains aNIBP frame 314 a, a pulse rate frame 314 b, a SpO2 frame 314 c, and atemperature frame 314 d. The NIBP frame 314 a is located within an upperleft portion of the parameter reporting area 314. The pulse rate frame314 b is located within an upper right portion of the parameterreporting area 314. The SpO2 frame 314 c is located within a lower leftportion of the parameter reporting area 314. The temperature frame 314 dis located within a lower right portion of the parameter reporting area314.

The NIBP frame 314 a contains a representation of the blood pressure ofthe patient. The representation of the blood pressure of the patient isbased on one or more measurements of the blood pressure of the patient.In various embodiments, the NIBP frame 314 a contains variousrepresentations of the blood pressure of the patient. In the example ofFIG. 3B, the NIBP frame 314 a includes enlarged numerical text thatrepresents a systolic blood pressure value (“120”) and a diastolic bloodpressure value (“80”), separated from each other via a slash ‘/’ textcharacter. The systolic blood pressure value is located at the left sideof the NIBP frame 314 a and the diastolic blood pressure is located tothe right side of the systolic blood pressure value.

An NIBP alarm status area 322 c is located at the right side of the NIBPframe 314 a. The NIBP alarm status area 322 c specifies an upper alarmlimit and a lower alarm limit for the patient's systolic blood pressureand an upper alarm limit and a lower alarm limit for the patient'sdiastolic blood pressure. The upper alarm limit and the lower alarmlimit for the patient's systolic blood pressure define a systolic bloodpressure alarm range. The upper alarm limit and the lower alarm limitfor the patient's diastolic blood pressure define a diastolic bloodpressure alarm range. An alarm associated with the patient's bloodpressure is active when the patient's systolic blood pressure is outsidethe systolic blood pressure alarm range or when the patient's diastolicblood pressure is outside the diastolic blood pressure alarm range

The NIBP frame 314 a also contains a NIBP cuff inflation stop button 322a. The NIBP cuff inflation stop button 322 a is labeled with the text“Stop.” The NIBP frame 314 a also contains a NIBP automatic intervaltimer 322 b. The NIBP automatic interval timer 322 b is located betweenthe diastolic blood pressure value and the NIBP alarm status area 322 c.Selection of the NIBP cuff inflation stop button 322 a ceases inflationof the NIBP cuff and toggles the label of the NIBP cuff inflation stopbutton 322 a to display the (“Start”) text. As used herein, a userselects a button or control when the user provides input to the PMPdevice 200 that specifies the control. For example, a user can select acontrol by pressing the control, by pressing another button while thecontrol is highlighted, or by another means. Selection of the NIBP cuffinflation stop button 322 a (now labeled the “Start” button) restartsinflation of the NIBP cuff and toggles the label of the NIBP cuffinflation stop button 322 a to display the (“Stop”) text. The NIBPautomatic interval timer 322 b indicates an amount of time remainingbefore the next scheduled inflation of the NIBP cuff. Additionally, auser can determine the age of the current NIBP reading on the NIBP frame314 a by subtracting the remaining time on the NIBP automatic intervaltimer 322 b from the original interval duration. In the example of FIG.3B, the NIBP frame 314 a also displays a MAP value in an extended labelfield 322 d.

The pulse rate frame 314 b contains a representation of the patient'spulse rate. The representation of the patient's pulse rate is based onone or more measurements of the patient's pulse rate. In differentembodiments, the pulse rate frame 314 b contains differentrepresentations of the patient's pulse rate. In the example of FIG. 3B,the pulse rate frame 314 b includes enlarged numerical text thatrepresents a pulse rate value (“122”). The pulse rate value (“122”) islocated at the left side of the pulse rate frame 314 b. A pulse ratealarm status area 324 a is located at the right side of the pulse rateframe 314 b. The pulse rate frame 314 b also indicates a source of thepulse rate in an extended label field 324 b.

The pulse rate alarm status area 324 a specifies an upper alarm limitand a lower alarm limit. The upper alarm limit and the lower alarm limitdefine a pulse rate alarm range. An alarm associated with the patient'spulse rate is active when the patient's pulse rate is outside the pulserate alarm range.

The SpO2 frame 314 c contains a representation of the patient's SpO2level. The representation of the patient's SpO2 level is based on one ormore measurements of the patient's SpO2 level. In different embodiments,the SpO2 frame 314 c contains different representations of the patient'sSpO2 level. In the example of FIG. 3B, the SpO2 frame 314 c includesenlarged numerical text that represents an SpO2 value (“97%”). The SpO2value (“97%”) is located at the left side of the SpO2 frame 314 c and isaccompanied by a ‘%’ text character on the right side of the SpO2 value.A SpO2 alarm status area 326 a is located at the right side of the SpO2frame 314 c. An SpO2 alarm parameter 326 d, appearing as a circleadjacent to the text (“25”), indicates a duration of time. The SpO2alarm status area 326 a specifies an upper alarm limit and a lower alarmlimit. The upper alarm limit and the lower alarm limit define a SpO2alarm range. An alarm associated with the patient's SpO2 level is activewhen the patient's SpO2 level is outside the SpO2 alarm range for theduration of time indicated by the SpO2 alarm parameter 326 d. The SpO2frame 314 c also includes a pulse amplitude blip bar 326 b whichindicates pulse beat and shows the relative pulse amplitude. As thedetected pulse becomes stronger, more bars in the pulse amplitude blipbar 326 b light up. The SpO2 frame 314 c also includes an SpO2 responsetime control button 326 c that is configured for a user to control theSpO2 alarm parameter 326 d.

The temperature frame 314 d contains a representation of the patient'sbody temperature. The representation of the patient's body temperatureis based on one or more measurements of the patient's body temperature.In different embodiments, the temperature frame 314 d contains differentrepresentations of the patient's body temperature. In the example ofFIG. 3B, the temperature frame 314 d includes enlarged numerical textthat represents a temperature value (“101.5”). The temperature value(“101.5”) is located at the left side of the temperature frame 314 d andis accompanied by a Fahrenheit degree indicating symbol on the rightside of the temperature value. A temperature alarm status area 328 a islocated at the right side of the temperature frame 314 d. Thetemperature alarm status area 328 a specifies an upper alarm limit and alower alarm limit. The upper alarm limit and the lower alarm limitdefine a temperature alarm range. An alarm associated with the patient'stemperature is active when the patient's temperature level is outsidethe temperature alarm range.

In some embodiments, the PMP device 200 can measure the patient'stemperature in either a predictive mode or in a direct mode. When thePMP device 200 measures the patient's temperature in the predictivemode, the PMP device 200 predicts the patient's current temperaturebased on periodic readings of the patient's temperature. When the PMPdevice 200 measures the patient's temperature in the direct mode, thePMP device 200 continually measures the patient's temperature.

The temperature value in the temperature frame 314 d is based onmeasurements received from a thermometer attached to a patient. When thePMP device 200 measures the patient's temperature in the predictivemode, the thermometer can be located at various places on the patient'sbody. Example locations on the patient's body where the thermometer canbe located include in the patient's mouth, on the patient's thigh, inthe patient's armpit, in the patient's rectum, and other locations. Thetemperature frame 314 d includes a thermometry location control 328 b.The thermometry location control 328 b indicates a location on thepatient's body where the thermometer is located. In the example of FIG.3B, the thermometry location control 328 b indicates that thethermometer is located in the patient's mouth.

When a user selects the thermometry location control 328 b, the PMPdevice 200 updates the thermometry location control 328 b such that thethermometry location control 328 b indicates a different location on thepatient's body or whether the PMP device 200 is to obtain measurementsof the patient's temperature in direct mode. The user can continueselecting the thermometry location control 328 b until the thermometrylocation control 328 b indicates a location where the thermometer islocated on the patient's body or until the thermometry location control328 b indicates that measurements are to be obtained in direct mode. Forexample, in some embodiments, the PMP device 200 accepts readings from athermometer when the thermometer is located in the patient's mouth, inan adult patient's armpit, or in a pediatric patient's armpit. In thisexample, the thermometry location control 328 b initially indicates thatthe thermometer is in a patient's mouth. When the user selects thethermometry location control 328 b one time, the thermometry locationcontrol 328 b indicates that the thermometer is located in an adultpatient's armpit. When the user selects the thermometry location control328 b again, the thermometry location control 328 b indicates that thethermometer is located in a pediatric patient's armpit. When the userselects the thermometry location control 328 b yet again, thethermometry location control 328 b indicates that the measurements ofthe patient's temperature are to be obtained in direct mode. When theuser selects the thermometry location control 328 b yet again, thethermometry location control 328 b again indicates that the thermometeris located in a patient's mouth.

The display screen 218 enables a user to select the parameter reportingframes 314 a-314 d in order to change how the physiological parametersare represented in the parameter reporting frames 314 a-314 d. In otherwords, each of the parameter reporting frames 314 a-314 d contains aninitial representation of a physiological parameter. The parameterreporting frame displays an alternate representation of thephysiological parameter instead of the initial representation of thephysiological parameter when a user selects the parameter reportingframe.

For example, selecting the temperature frame 314 d toggles thetemperature value between being expressed in Fahrenheit or Centigrade.This feature is referred to as “tap to toggle.” In another example, whena user selects the pulse rate frame 314 b, the PMP device 200 displays awaveform in the pulse rate frame 314 b instead of a number representingthe patient's current pulse rate. The waveform represents a patient'spulse over time. In this example, when the user selects the pulse rateframe 314 b again, the PMP device 200 displays a number in the pulserate frame 314 b representing the patient's current pulse rate. In yetanother example, when the user selects the SpO2 frame 314 c, the PMPdevice 200 displays a plethysmograhic waveform view in the SpO2 frame314 c. FIG. 3E illustrates an example alternate representation of apatient's SpO2 level. In the example of FIG. 3E, the SpO2 frame 314 ccontains a plethysmographic waveform view 325.

The patient attribute area 316 contains data that specify attributes ofa patient. In various embodiments, the patient attribute area 316contains data that specify various attributes of a patient. For example,in some embodiments, text that identifies a patient is located at theleft side of the patient attribute area 316. In the example of FIG. 3B,the patient attribute area 316 contains the value “83645211” to identifythe patient.

Furthermore, in the example of FIG. 3B, the patient attribute area 316contains a patient type button 316 b that is labeled with the text“Adult.” The patient type button 316 b is located towards the center ofthe patient attribute area 316. Patient-related attribute values thatare labeled with the text (“HEIGHT”), (“WEIGHT”), (“PAIN”) and (“RR”)are located to the right side of the patient type button 316 b. A savebutton 316 g that is labeled with the text (“Save”) is located at theright side of the patient attribute area 316.

The patient type button 316 b indicates a value of a patient typeparameter associated with the current patient. The patient typeparameter can store a value of “Adult”, “Pediatric”, or “Neonatal”patient type. The patient type parameter controls the amount of airpressure applied to the NIBP cuff. Furthermore, in some embodiments, thepatient type parameter controls the default alarm limits for thepatient's physiological parameters. Thus, by using the patient typebutton 316 b to change the patient type parameter, the user canautomatically change the alarm limits for the patient's physiologicalparameters. As described elsewhere in this document, the user can alsomanually set the alarm limits for physiological parameters. When a userselects the patient type button 316 b, the monitoring workflow homescreen 300 is replaced by the patient selection screen as if thepatients tab 318 b was selected.

When the save button 316 g is selected while the PMP device is operatingin the monitoring workflow, the PMP device 200 saves a patient readingto local non-volatile storage within the PMP device 200. The patientreading is a set of data that includes measurements of the physiologicalparameters of the patient. If applicable, the patient reading can alsoinclude data indicating attributes of the patient. A user can use thereview screen to review saved patient reading. Furthermore, in someembodiments, the PMP device 200 automatically attempts to transmit thepatient reading to another computing node. A user can use the settingsscreen to specify the other computing node. In some embodiments, theother computing node is an electronic medical records system.Optionally, the other computing node is the interface system 104. ThePMP device 200 does not clear the monitoring workflow home screen 300when the save button 316 g is selected.

The PMP device 200 can be configured to automatically save measurementsas well. For example, when in the continuous workflow mode, the PMPdevice 200 can be configured to automatically store measured values atperiodic intervals, such as once per second, once per minute, once every5 minutes, etc.

The monitoring workflow is designed for obtaining a series ofmeasurements of one or more physiological parameters of an identifiedpatient over a period of time. A user uses the patient selection screento select the identified patient. The PMP device 200 is programmable viaan intervals pane of the settings screen to periodically recordmeasurements of one or more physiological parameters over time from theidentified patient.

A user may select the save button 316 g one or more times. Each time theuser selects the save button 316 g, the PMP device 200 locally saves thepatient reading and may attempt to send the patient reading to anothercomputing node. The sending is dependent on the workflow in which thePMP device 200 is operating. In the spot check workflow (see FIG. 3C),the PMP device 200 automatically sends the patient reading because aclinician is present when the measurements are obtained. When the PMPdevice 200 is operating in the monitoring workflow, a clinician may notbe always present. Thus, the patient reading is not sent automatically.Instead, a clinician navigates to the review screen (See FIG. 5) andmanually selects the patient reading that the user wants to send.

When the PMP device 200 is operating in the monitoring workflow, therepresentations of the physiological parameters and patient attributesremain displayed on the monitoring workflow home screen 300, regardlessof whether or not the patient reading is saved locally and/ortransmitted to another computing node in response to a selection of thesave button 316 g. Unlike the spot check and triage workflows, the PMPdevice 200 does not clear the monitoring workflow home screen 300 when auser selects the save button 316 g.

In some embodiments, the home screens for each workflow supported by thePMP device 200 contain at least one common user interface element. Thecommon user interface element has the same appearance in each of thehome screens, but does not necessarily perform the same function in thehome screens of the different workflows. In the example of FIG. 3B, thepatient type button 316 b and the save button 316 g are user interfaceelements that are included within and common to the monitoring workflowhome screen 300 and to home screens for the spot check workflow (FIG.3C) and the triage workflow (FIG. 3D). Further, the patient type button316 b and the save button 316 g have a same appearance but also havedifferent functions depending upon which workflow the PMP device 200 isoperating within.

When the PMP device 200 is operating in the monitoring workflow, the PMPdevice 200 clears the monitoring workflow home screen 300 upon dischargeof the current (first) identified patient for which physiologicalparameters are being obtained. When the PMP device 200 clears themonitoring workflow home screen 300, the PMP device 200 modifies themonitoring workflow home screen 300 such that the monitoring workflowhome screen 300 no longer contains data representing physiologicalparameters of a patient and attributes of the patient. The monitoredpatient is discharged by the selection of another (second) identifiedpatient for which to obtain physiological data, via the patientselection screen 400 or by power-cycling the PMP device 200. Uponselection of the second patient, the PMP device 200 locally stores thepatient reading for the first patient and transmits the patient readingfor the first patient to another computing node when a user selects asend patient reading control 448 a on the review screen (see FIG. 5).Upon attaching the sensors to the second identified patient, the PMPdevice 200 obtain measurements of a set of one or more physiologicalparameter from the second identified patient, periodically over time.

Unlike the home screens for non-monitoring workflows (e.g., the spotcheck workflow and the triage workflow), the monitoring workflow homescreen 300 provides direct access to the alarm screen via the alarmstatus areas 322 c, 324 a, 326 a, 328 a located within the parameterreporting frames 314 a-314 d. Each alarm status area 322 c, 324 a, 326a, 328 a (including the bell-shaped symbols) indicates high and lowalarm limits and provides a visual indication of when an alarm isactive.

FIG. 3F illustrates the monitoring workflow home screen 300 when analarm is active. When an alarm is active with respect to a particularphysiological parameter, a perimeter around the parameter reportingframe for the particular physiological parameter transitions from a graycolor to a red color. Changing the color of the perimeter provides avisual indication that the alarm is active. In some embodiments, theperimeter around the parameter reporting frame also flashes, therebyproviding another visual indication that the alarm is active.Furthermore, the bell-shaped symbol within the alarm status areatransitions from a white color to a red or yellow color, depending on apriority of the alarm. This provides another visual indication that thealarm is active. When the alarm is resolved, the bell-shaped symbolwithin the alarm status area transitions from the red or yellow color tothe white color. In the example of FIG. 3F, an alarm associated with thepatient's pulse rate is active. Accordingly, the perimeter around thepulse rate frame 314 b is red instead of gray.

Furthermore, as illustrated in the example of FIG. 3F, when an alarmassociated with a particular physiological parameter is active, the PMPdevice 200 causes the device status area 312 to display an alarm message380. The alarm message 380 visually indicates that an alarm is activeand indicates a brief description of the alert. In the example FIG. 3F,the alarm message 380 indicates that the reason for the alert is thatthe patient's heart rate is too high.

Furthermore, when an alarm associated with a particular physiologicalparameter is active, the PMP device 200 emits an alarm sound. The PMPdevice 200 continues to emit the alarm sound until the alarm isdeactivated or until a user temporarily silences the alarm sound. Whenthe user temporarily silences the alarm sound, the PMP device 200suspends emitting the alarm sound for a given time period. In variousembodiments, the user is able to temporarily silence the alarm sound invarious ways. For example, in some embodiments, the user temporarilysilences the alarm sound by touching the parameter reporting framecorresponding to the alarm. In other embodiments, the user temporarilysilences the alarm sound by touching the alarm message 380. In yet otherembodiments, the user temporarily silences the alarm sound by selectinga physical button on the PMP device 200.

When the user temporarily silences the alarm sound, the PMP device 200resumes emitting the alarm sound after a given time period expires. Forexample, in some embodiments, the PMP device 200 resumes emitting thealarm sound after 30 seconds. When the user temporarily silences thealarm sound, the alarm message 380 indicates a time remaining before thePMP device 200 resumes emitting the alarm sound.

FIG. 3G illustrates the monitoring workflow home screen 300 when analarm is active and when the alarm sound for the alarm has beentemporarily silenced. In the example of FIG. 3G, the alarm message 380indicates that eighty-nine seconds remain before the PMP device 200resumes emitting the alarm sound.

In some embodiments, the user is able to temporarily silence the alarmsound for various lengths of time by selecting a button on the PMPdevice 200 or a control displayed by the PMP device 200 multiple times.For example, when the user selects the alarm message 380 one time, thePMP device 200 resumes emitting the alarm sound after sixty seconds. Inthis example, each time the user selects the alarm message 380, the PMPdevice 200 adds thirty seconds to the length of time before the PMPdevice 200 resumes emitting the alarm sound. In some embodiments, thePMP device 200 prevents the user from temporarily silencing the alarmsound for more than a given amount of time. For example, in someembodiments, the PMP device 200 prevents the user from temporarilysilencing the alarm sound for more than five minutes.

When the user temporarily silences an alarm sound for an alarm, themonitoring workflow home screen 300 visually indicates that the alarmsound has been temporarily silenced. In various embodiments, themonitoring workflow home screen 300 visually indicates that the alarmsound has been temporarily silenced in various ways. For example, insome embodiments, the alarm message 380 contains a bell-shaped icon whenthe alarm sound has been temporarily silenced. In this example, thebell-shaped icon has an X-shaped mark over a bell. The lines of theX-shaped mark are dashed. In other example embodiments, the alarmmessage 380 or other parts of the monitoring workflow home screen 300contain differently shaped icons or visual indicators.

The alarm status areas 322 c, 324 a, 326 a, 328 a act as navigationalshort cuts to appropriate panes within the alarms screen for eachrespective physiological parameter (See FIG. 7A). In this way, selectingan alarm status area while no alarm is active results in the PMP device200 displaying the same user interface as if a user selects the alarmstab 318 c and then selects an appropriate pane of the alarms screen.Navigation to the appropriate pane of the alarms screen happens onlywhen the PMP device 200 is not emitting an alarm sound. In other words,the first selection of this area (or anywhere in the parameter reportingframe) would cause the alarm to silence the audio. A subsequentselection of the alarm status area performs the navigation.

Various alarms have various priority levels. For example, an alarmassociated with a patient's pulse rate has a high priority level and analarm associated with detachment of a SpO2 clip has a medium prioritylevel. The PMP device 200 visually and/or sonically indicates alarmshaving different priority levels in different ways. For example, in someembodiments, when an alarm having a high priority level is active, thePMP device 200 displays visual indications of the alarm in a givencolor, such as red. When an alarm having a medium or low priority levelis active, the PMP device 200 displays visual indications of the alarmin another color, such as yellow. Furthermore, in some embodiments, whenan alarm having a high priority level is active, the PMP device 200emits a given alarm sound, such as a continuous tone. When an alarmhaving a medium or low priority level is active, the PMP device 200emits another alarm sound, such as a periodic beep.

When the PMP device 200 is operating in different workflows, the PMPdevice 200 can activate different alarms and/or emit different alarmsounds. For example, the PMP device 200 activates an alarm when a SpO2clip detachment event occurs while the PMP device 200 operating withinthe monitoring workflow, but does not activate the alarm while in anon-operating in the monitoring workflow. This feature can be convenientconsidering that the PMP device 200 and the patient are more likely tobe unattended by a user of the PMP device 200 for periods of time whenthe PMP device 200 is operating in the monitoring workflow, but lesslikely when the PMP device 200 is operating in the spot check or thetriage workflows. In one embodiment, monitoring of SpO2 may be preventedby the PMP device 200 beyond ten minutes if the PMP device 200 isoperating in the spot check or the triage workflows.

Under certain circumstances, multiple alarms can be active concurrently.For example, one alarm can be active because a patient's pulse rate istoo high and another alarm can be active because a SpO2 clip has beendetached from the patient. When multiple alarms are active concurrently,the PMP device 200 indicates that multiple alarms are active. In variousembodiments, the PMP device 200 indicates that multiple alarms areactive in various ways. For example, in some embodiments, the alarmmessage 380 includes an icon that indicates a number of alarms that arecurrently active. In this example, icon can be a triangle containing thenumber of alarms that are currently active.

In some embodiments, the PMP device 200 displays different visualindicators depending on the priority levels of concurrently activealarms. For example, when two or more high level alarms are activeconcurrently, the PMP device 200 displays visual indications for each ofthe high level alarms. In another example, when an alarm having a mediumpriority level (“the medium level alarm”) and an alarm having a highpriority level (“the high level alarm”) are active concurrently, the PMPdevice 200 displays visual indications for the high level alarm and doesnot display visual indications for the medium level alarm. If the userof the PMP device 200 temporarily silences the alarm sound for the highlevel alarm, the PMP device 200 does not emit the alarm sound for thehigh level alarm or the alarm sound for the medium level alarm. When thehigh level alarm is resolved before the medium level alarm is resolved,the PMP device 200 displays visual indications for the medium levelalarm and the PMP device 200 resumes emitting the alarm sound for themedium level alarm.

In some embodiments, the user of the PMP device 200 is able to togglebetween multiple concurrently active alarms by selecting one or morecontrols in the user interface of the PMP device 200 or by selecting oneor more buttons on the PMP device 200. In this way, the user causes thePMP device 200 to display the visual indications for each of themultiple concurrently active alarms. For example, a first alarm and asecond alarm can be concurrently active. In this example, the PMP device200 displays an alarm message describing a first alarm. In this example,the PMP device 200 modifies the alarm message to describe a second alarmwhen a user selects the alarm message.

In some alternative embodiments, the PMP device 200 enables a user tocustomize the content within the monitoring workflow home screen 300.For example, the PMP device 200 enables a user to adjust the relativesizes of the parameter reporting frames 314 a-314 d within themonitoring workflow home screen 300. In another example, the PMP device200 enables the user to add or remove parameter reporting frames fromthe monitoring workflow home screen 300. Furthermore, in some suchembodiments, the PMP device 200 includes one or more predefinedtemplates for the monitoring workflow home screen 300. Each of thepredefined templates specifies a predefined set of content within themonitoring workflow home screen 300. For example, one predefinedtemplate specifies that the monitoring workflow home screen 300 includesa large parameter reporting frame for the patient's blood pressure andthree smaller parameter reporting frames for the patient's pulse rate,SpO2 level, and body temperature. In this example, another predefinedtemplate specifies that the monitoring workflow home screen 300 includesonly a frame for the patient's SpO2 level and the patient's bloodpressure. The user can customize the content within the monitoringworkflow home screen 300 by selecting one of these predefined templatesor by modifying one of these predefined templates.

FIG. 3C illustrates an example spot check workflow home screen 330. ThePMP device 200 displays the spot check workflow home screen 330 when thePMP device 200 is operating in a spot check workflow. The spot checkworkflow home screen 330 is referred to as the “Home” screen for thespot check workflow. Like when the PMP device 200 is operating in themonitoring workflow, each sensor is physically attached to an identifiedpatient when the PMP device 200 is operating in the spot check workflow.These sensors include a temperature probe, a SpO2 clip, and a NIBP bloodpressure cuff. As described elsewhere in this document, the temperatureprobe, the SpO2 clip and the NIBP blood pressure cuff are peripheral tothe PMP device 200.

Also, like the monitoring workflow home screen 300 illustrated in theexample of FIG. 3B, the spot check workflow home screen 330 includes adevice status area 312, a content area 320, and a navigation area 318.The content area 320 includes a parameter reporting area 314 and apatient attribute area 316. The parameter reporting area 314 of the spotcheck workflow home screen 330 includes an NIBP frame 334 a, a pulserate frame 314 b, a SpO2 frame 334 c and a temperature frame 334 d.

The NIBP frame 334 a contains a representation of a patient's bloodpressure. The representation is based on one or more measurements of theblood pressure of a previously identified patient. In the example ofFIG. 3C, the NIBP frame 334 a includes text representing the patient'ssystolic and diastolic blood pressure. In the spot check workflow homescreen 330, the text representing the patient's systolic and diastolicblood pressure is larger than the text in the monitoring workflow homescreen 300 representing the patient's systolic and diastolic bloodpressure. The NIBP frame 334 a of the spot check workflow home screen330 does not include the NIBP alarm status area 322 c and does notinclude the NIBP automatic interval timer 322 b of the monitoringworkflow home screen 300.

The pulse rate frame 334 b contains a representation of the patient'spulse rate. The representation is based on one or more measurements ofthe pulse rate of the patient. In the example of FIG. 3C, the pulse rateframe 334 b includes text representing the patient's pulse rate. In thespot check workflow home screen 330, the text representing the patient'spulse rate is larger than the text in the monitoring workflow homescreen 300 representing the patient's pulse rate. The pulse rate frame334 b of the spot check workflow home screen 330 does not include thepulse rate alarm status area 324 a included within the pulse rate frame314 b of the monitoring workflow home screen 300.

The SpO2 frame 334 c contains a representation of the patient's SpO2level. The representation is based on one or more measurements of theSpO2 level of the patient. In the example of FIG. 3C, the SpO2 frame 334c includes text representing the SpO2 value. In the spot check workflowhome screen 330, the text representing the patient's SpO2 level islarger than the text in the monitoring workflow home screen 300representing the patient's SpO2 level. The SpO2 frame 334 c does notinclude the alarm status area 326 a, the SpO2 response time controlbutton 326 c, or the SpO2 alarm parameter 326 d of the SpO2 frame 314 cof the monitoring workflow home screen 300.

The temperature frame 334 d contains a representation of the patient'sbody temperature. The representation is based on one or moremeasurements of the body temperature of the patient. In the example ofFIG. 3C, the temperature frame 334 d includes text representing thepatient's body temperature. In the spot check workflow home screen 330,the text representing the patient's body temperature is larger than thetext in the monitoring workflow home screen 300 representing thepatient's body temperature. The temperature frame 334 d of the spotcheck workflow home screen 330 does not include the temperature alarmstatus area 328 a included within the temperature frame 314 d of themonitoring workflow home screen 300.

The patient attribute area 316 of the spot check workflow home screen330 includes text that identifies the patient by name, initials,numerical identifier, or location. In the example of FIG. 3C, thepatient attribute area 316 includes text that identifies the patient as“Bar, D.” A user is able use the settings screen to configure the PMPdevice 200 to identify the patient by name or by number. The user isalso able to use the settings screen to configure the PMP device 200 notto save or send patient readings when the PMP device 200 does not storeinformation regarding the identity of the patient.

The navigation area 318 of the spot check workflow home screen 330includes the home tab 318 a, the patients tab 318 b, the review tab 318d, and the settings tab 318 e. The navigation area 318 excludes thealarms tab 318 c included in the navigation area 318 of the monitoringworkflow home screen 300. As a result, the spot check workflow homescreen 330 does not provide direct navigation to the alarms screen asprovided by the monitoring workflow home screen 300.

When the PMP device 200 is operating in the spot check workflow, the PMPdevice 200 locally saves a patient reading and attempts to send thepatient reading to another computing node when a user selects the savebutton 316 g. The patient reading includes measurements of thephysiological parameters of the patient and data identifying thepatient. Unlike when the PMP device 200 is operating in the monitoringworkflow, the PMP device 200 clears the spot check workflow home screen330 when the user selects the save button 316 g. When the PMP device 200clears the spot check workflow home screen 330, the PMP device 200modifies the spot check workflow home screen 330 such that the spotcheck workflow home screen 330 no longer contains representations of thephysiological parameters of the patient and attributes of the patient.

Because the PMP device 200 clears the spot check workflow home screen330 when a user selects the save button 316 g of the spot check workflowhome screen 330, a first identified patient is essentially dischargedwhen the user selects the save button 316 g. After selecting the savebutton 316 g, the user selects a second identified patient via thepatient selection screen. Upon attaching the sensors to the secondidentified patient, the PMP device 200 obtains a set of one or morephysiological parameter values from the second identified patient.

The spot check workflow is designed for obtaining measurements ofphysiological parameters from each patient in a series of identifiedpatients. A user selects each patient in the series of identifiedpatients from the patient selection screen. Alternatively, a user canselect each patient in the series of identified patient by scanningbarcodes of the patients, thereby bypassing the patient selectionscreen. Further, a user can identify a patient at any step in theworkflow prior to saving the patient reading of the spot check workflowhome screen 330. Upon attaching the sensors a patient in the series ofidentified patients, a user uses the PMP device 200 to obtainmeasurements of one or more physiological parameters of that patient.Typically, the PMP device 200 is attached to a first patient for no moretime than is required to obtain one measurement for each of the NIBP,the pulse rate, the SpO2, and the body temperature of the first patient.The user then detaches the sensors from the first patient and attachesthe sensors to a second patient that is next in the series of patients.

In one use scenario, a user can use the spot check workflow “makingrounds” within a health care facility. For example, a clinician can usethe PMP device 200 to obtain one set of measurements of physiologicalparameters for each patient in a group of twelve patients within ahealth care facility. Optionally, the clinician can transport the PMPdevice 200 sequentially to each patient in the group of patients withinone “round” of obtaining measurements of physiological parameters. Each“round” of obtaining measurements of physiological parameters can beobtained for each patient in the patients of the group every hour duringa working shift.

In some embodiments, the PMP device 200 enables a user to customize thecontent within the spot check workflow home screen 330. For example, thePMP device 200 enables a user to adjust the relative sizes of theparameter reporting frames 334 a-334 d within the spot check workflowhome screen 330. In another example, the PMP device 200 enables the userto add or remove parameter reporting frames from the spot check workflowhome screen 330. Furthermore, in some such embodiments, the PMP device200 includes one or more predefined templates for the spot checkworkflow home screen 330. Each of the predefined templates specifies apredefined set of content within the spot check workflow home screen330. The user can customize the content within the spot check workflowhome screen 330 by selecting one of these predefined templates or bymodifying one of these predefined templates.

FIG. 3D illustrates an example triage workflow home screen 360. The PMPdevice 200 displays the triage workflow home screen 360 when the PMPdevice 200 is in a triage workflow.

Like when the PMP device 200 is operating in the monitoring workflow orthe spot check workflow, a user physically attaches each sensor to anunidentified patient when the PMP device 200 is operating in the triageworkflow. These sensors include the temperature probe, the SpO2 clip,and the blood pressure cuff that are each attachable to the PMP device200 as described elsewhere in this document.

The triage workflow home screen 360 includes a device status area 312, acontent area 320, and a navigation area 318. The content area 320 of thetriage workflow home screen 360 includes a parameter reporting area 314and a patient attribute area 316. The parameter reporting area 314 ofthe triage workflow home screen 360 includes an NIBP frame 364 a, apulse rate frame 364 b, a SpO2 frame 364 c and a temperature frame 364d.

The NIBP frame 364 a contains a representation of the systolic anddiastolic blood pressure of the patient. The representation is based onone or more measurements of the blood pressure of the patient. In theexample of FIG. 3D, the NIBP frame 364 a includes text representing thesystolic and diastolic blood pressure of the patient. The size of thetext in the NIBP frame 364 a is similar to the size of the text in theNIBP frame 334 a of the spot check workflow home screen 330 and largerthan the size of the text in the NIBP frame 314 a of the monitoringworkflow home screen 300. The NIBP frame 364 a does not include the NIBPalarm status area 322 c and does not include the NIBP automatic intervaltimer 322 b included in the NIBP frame 314 a of the monitoring workflowhome screen 300.

The pulse rate frame 364 b contains a representation of the pulse rateof the patient. The representation is based on one or more measurementsof the pulse rate of the patient. In the example of FIG. 3D, the pulserate frame 364 b contains text representing the pulse rate value of thepatient. The size of the text in the pulse rate frame 364 b is similarto the size of the text in the pulse rate frame 334 b of the spot checkworkflow home screen 330 and larger than the size of the text in thepulse rate frame 314 b of the monitoring workflow home screen 300. Thepulse rate frame 364 b does not include the pulse rate alarm status area324 a that is included within the pulse rate frame 314 b of themonitoring workflow home screen 300.

The SpO2 frame 364 c contains a representation of the SpO2 level of thepatient. The representation is based on one or more measurements of theSpO2 level of the patient. In the example of FIG. 3D, the SpO2 frame 364c includes text representing the SpO2 value of the patient. The size ofthe text in the SpO2 frame 364 c is similar to the size of the text inthe SpO2 frame 334 c of the spot check workflow home screen 330 andlarger than the size of the text in the SpO2 frame 314 c of themonitoring workflow home screen 300. The SpO2 frame 334 c does notinclude the alarm status area 326 a, the SpO2 response time controlbutton 326 b, or the SpO2 alarm parameter 326 b of the SpO2 frame 314 cof the monitoring workflow home screen 300.

The temperature frame 364 d contains a representation of the bodytemperature of the patient. The representation is based on one or moremeasurements of the body temperature of the patient. In the example ofFIG. 3D, the temperature frame 364 d includes text representing the bodytemperature of the patient. The size of the text in the temperatureframe 364 d is similar to the size of the text in the temperature frame334 d of the spot check workflow home screen 330 and larger than thesize of the text in the temperature frame 314 d of the temperature frame314 d of the monitoring workflow home screen 300. The temperature frame364 d does not include the temperature alarm status area 328 a that isincluded within the temperature frame 314 d of the monitoring workflowhome screen 300.

The navigation area 318 of the triage workflow home screen 360 includesthe home tab 318 a, the review tab 318 d, and the settings tab 318 e.The navigation area 318 of the triage workflow home screen 360 excludesthe alarms tab 318 c of the monitoring workflow home screen 300. As aresult, the triage workflow home screen 360 does not provide directnavigation to the alarms screen as provided by the monitoring workflowhome screen 300. Furthermore, the navigation area 318 of the triageworkflow home screen 360 excludes the patients tab 318 b of themonitoring workflow home screen 300 and the spot check workflow homescreen 330. As a result, the triage workflow home screen 360 does notprovide direct navigation to the patient selection screen as provided bythe monitoring workflow home screen 300 and the spot check workflow homescreen 330.

The patient attribute area 316 of the triage workflow home screen 360includes a patient type button 316 b and a save button 316 g. Thepatient attribute area 316 does not include text that identifies thepatient.

When the PMP device 200 is operating within the triage workflow, the PMPdevice 200 locally saves a patient reading of the triage workflow homescreen 360. The home screen data of the triage workflow home screen 360includes measurements of the physiological parameters of theunidentified patient. Furthermore, a user can configure the PMP device200 to transmit the patient reading of the triage workflow home screen360 to another computing node in response to a selection of the savebutton 316 g. Unlike the monitoring workflow home screen 300 and likethe spot check workflow home screen 330, the PMP device 200 clears thetriage workflow home screen 360 when a user selects the save button 316g. When the PMP device 200 clears the triage workflow home screen 360,the PMP device 200 modifies the triage workflow home screen 360 suchthat the triage workflow home screen 360 no longer containsrepresentations of the physiological parameters of the patient.

When the PMP device 200 is operating in the triage workflow, selectionof the patient type button 316 b toggles the text label of the patienttype button 316 b and toggles a value of a patient type parameter withinthe triage workflow home screen 360. The text label and data valueassociated with the patient type button 316 b, toggles between thelabel/values of (“Adult”), (“Pediatric”) and (“Neonatal”).

When the user selects the save button 316 g, the patient readingtransmitted to another computing node includes a patient type parametervalue equal to (“Adult”), (“Pediatric”) and (“Neonatal”). The patienttype data substitutes for patient identification data that is absentfrom the patient reading while operating within the triage workflow.

As a result, when the PMP device 200 is operating in the triageworkflow, a first unidentified patient is essentially discharged when auser selects the save button 316 g. Upon attaching the sensors to asecond unidentified patient, the user uses the PMP device 200 to obtaina set of one or more measurements of physiological parameter from thesecond unidentified patient.

The triage workflow is designed for obtaining measurements ofphysiological parameters from each of a series of unidentified patients.A user does not select each patient in the series of unidentifiedpatients from the patient selection screen. Instead, the user attachesthe sensors to each unidentified patient in sequence. Upon attaching thesensors to a patient in the series of the unidentified patients, theuser uses the PMP device 200 to obtain measurements of one or morephysiological parameters of that patient at that time. Typically, theuser attaches the sensors to the patient for no more time that isrequired to obtain one measurement for each of the NIBP, the pulse rate,the SpO2 level, and the body temperature of the patient. The user thendetaches the sensors are from the patient and attaches the sensors toanother patient that is next in the series of patients.

In one use scenario, the triage workflow can be used for obtainingmeasurements of physiological parameters from unidentified health carerecipients. The recipients may or may not be patients of a health carefacility. The other computing node is a personal computer which receivesthe patient reading from the PMP device 200 with no patient namesattached.

In some embodiments, the PMP device 200 enables a user to customize thecontent within the triage workflow home screen 360. For example, the PMPdevice 200 enables a user to adjust the relative sizes of the parameterreporting frames 364 within the triage workflow home screen 360. Inanother example, the PMP device 200 enables the user to add or removeparameter reporting frames from the triage workflow home screen 360.Furthermore, in some such embodiments, the PMP device 200 includes oneor more predefined templates for the triage workflow home screen 360.Each of the predefined templates specifies a predefined set of contentwithin the triage workflow home screen 360. The user can customize thecontent within the triage workflow home screen 360 by selecting one ofthese predefined templates or by modifying one of these predefinedtemplates.

FIG. 4 illustrates an example patient selection screen 400. A user cannavigate to the patient selection screen 400 by selecting the patientstab 318 b. The patient selection screen 400 includes a device statusarea 312, a pane selection tab area 310 and a navigation area 318. Thepane selection tab area 310 includes four pane selection tabs that arelabeled “List”, “Summary”, “Modifiers” and “Manual.” The list pane 418includes a column label area 412, a patient listing area 414, and ascreen control area 416. The device status area 312 appears like thedevice status area 312 of the monitoring workflow home screen 300, thedevice status area 312 of the spot check workflow home screen 330, andthe device status area 312 of the triage workflow home screen 360. Thenavigation area 318 appears like the navigation area 318 of themonitoring workflow home screen 300.

The patient listing area 414 includes lines 415 a-415 e (collectively,“lines 415”). Each of the lines 415 is associated with a differentpatient. For example, a patient having a name “Barker, D.” is listed onthe line 415 a, a patient having a name “Connor, W.” is listed on theline 415 c, and a patient having a name “Davison, A” is listed on theline 415 e.

The screen control area 416 includes three buttons. A first (left)button that is labeled “Add” is utilized to add a patient to the patientlisting area 414. A second (middle) button that is labeled “Delete” isutilized to delete a patient from the patient listing area 414. A third(right) button that is labeled “Select” is utilized to highlight apatient that listed within the patient listing area 414.

FIG. 5 illustrates an example review screen 500. A user can navigate tothe review screen 500 using the review tab 318 d. The review screen 500includes a device status area 312, a review table 541, a screen controlarea 548, and a navigation area 318. The device status area 312 appearslike the device status area 312 of the monitoring workflow home screen300, the device status area 312 of the spot check workflow home screen330, and the device status area 312 of the triage workflow home screen360. The navigation area 318 of the review screen 500 appears like thenavigation area 318 of the monitoring workflow home screen 300.

The review table 541 includes a column label line 542. In addition, thereview table 541 includes patient readings 546 a-546 f and columns 552a-552 i. Each of the patient readings 546 a-546 f comprises a differentset of measurements of physiological parameters of a patient. Each ofthe columns 552 b-552 h is associated with a different physiologicalparameter. Check marks in the column 552 a indicate whether particularones of the patient readings 546 a-546 f are selected. In the example ofFIG. 5, the patient readings 546A and 546 e are selected.

For example, the patient reading 546 a includes a patient name (“Barker,D.”) in the column 552 b, a date and time value in the column 552 c, asystolic and diastolic measurement value in the column 552 d, a meanarterial pressure (MAP) measurement value (not shown), a temperaturemeasurement value in the column 552 f, a pulse measurement value in thecolumn 552 g, an SpO2 measurement value in the column 552 h, and apatient attributes set of values in the column 552 i.

The screen control area 548 includes a send patient reading button 548a, a print patient reading button 548 b, a delete patient reading button548 c and a view list box 548 d. The print patient reading button 548 bis utilized to send a selected patient reading. The print patientreading button 548 b is utilized to print selected patient readings. Thedelete patient reading button 548 c is utilized to delete selectedpatient readings. The view list box 548 d enables filtering of thereview table 541. A user can use the view list box 548 d to select toview all available patient readings or only particular patient readingsbased on sent, unsent or alarm status.

FIG. 6A illustrates an example intervals pane 610 of a settings screen600. Direct navigation to the settings screen 600 is provided from themonitoring workflow home screen 300, from the spot check workflow homescreen 330, and from the triage workflow home screen 360. For example,in some embodiments, a user of the PMP device 200 navigates to thesettings screen 600 by selecting the settings tab 318 e. As illustratedin the example of FIG. 6A, the settings screen 600 includes a devicestatus area 312, a pane selection tab area 604, the intervals pane 610and a navigation area 318.

The device status area 312 of the settings screen 600 appears like thedevice status area 312 of the monitoring workflow home screen 300, thedevice status area 312 of the spot check workflow home screen 330, andthe device status area 312 of the triage workflow home screen 360. Thepane selection tab area 604 includes five pane selection tabs that arelabeled “Intervals,” “Device,” “Clinician,” “Profiles,” and “Advanced.”The navigation area 318 of the settings screen 600 appears like thenavigation area 318 of the monitoring workflow home screen 300.

A user can use the intervals pane 610 to program the PMP device 200 tosave NIBP measurements, pulse rate measurements, SpO2 measurements, andtemperature measurements for a patient at given intervals over an giventime period. Other combinations of physiological parameters can beobtained at other fixed or non-fixed intervals.

The intervals pane 610 includes an automatic control 611, a programcontrol 612, a stat control 613, an off control (not shown), a printcontrol 615, and a start control 616. When the automatic control 611 isselected, the settings screen 600 contains one or more controls forentering a fixed time period to right of control. When the programcontrol 612 is selected, the settings screen 600 contains controls fordefining and selecting interval programs. When the stat control 613 isselected, the settings screen 600 contains one or more controls forcapturing and saving as many measurements of physiological parameters aspossible within a time period, for example a five minute period. Whenthe off control is selected, intervals are turned off. When the printcontrol 615 is selected, a captured measurement at each interval may beprinted. The start control 616 is a command button to start the selectedinterval workflow: Automatic, Program, or Stat. The PMP device 200automatically initiates an NIBP reading and initiates the intervalprogram once the start control 616 is selected.

In the example of FIG. 6A, the program control 612 is selected.Consequently, the intervals pane 610 includes controls for defining andselecting interval programs. An interval program is a set of parametersthat governs the intervals at which the PMP device 200 recordsmeasurements of one or more physiological parameters of a patient andfor lengths of time for which the PMP device 200 records themeasurements of the one or more physiological parameters of the patient.

In the example of FIG. 6A, the intervals pane 610 contains intervalprogram selection controls 660 a, 660 b (collectively, interval programselection controls 660). More or fewer controls 660 can be provided. Theinterval program selection controls 660 specify the names of intervalprograms. In some examples, the interval program selection controls 660specify names associated with the controls, such as “Transplant,”“Transfusion,” “Cardiac,” which represent names of interval programs.

A user selects an interval program by selecting one of the intervalprogram selection controls 660 that corresponds to the interval program.After selecting the interval program, the user starts the intervalprogram by selecting the start control 616. When the user starts theinterval program, the PMP device 200 records measurements ofphysiological parameters of a patient at the intervals specified by theinterval program for the duration specified by the interval program.

In some embodiments, the monitoring workflow home screen 300 containsremaining time controls. The remaining time controls indicate amounts oftime remaining before the PMP device 200 records measurements of thephysiological parameters. For example, the pulse rate frame 314 b of themonitoring workflow home screen 300 can include a remaining time controlthat indicates that twenty seconds remain before the PMP device 200records a measurement of the patient's pulse rate. Furthermore, in someembodiments, the PMP device 200 displays the intervals pane 610 when theuser selects the remaining time controls. In this way, the user of thePMP device 200 can easily access the intervals pane 610.

Furthermore, in the example of FIG. 6A, the intervals pane 610 containsa program name control 662, duration controls 664 a-664 e (collectively,“duration controls 664”), and interval controls 666 a-666 e(collectively, “interval controls 666”). The duration controls 664 andthe interval controls 666 are organized into rows. Each row correspondsto a different physiological parameter of the patient. For example, afirst row corresponds to the patient's blood pressure, a second rowcorresponds to the patient's pulse rate, and so on.

When the user selects an interval program using one of the intervalprogram selection controls 660, the program name control 662 containsthe name of the interval program. In the example of FIG. 6A, the programname control 662 indicates that the name of the interval program is“Transfusion.” The duration controls 664 specify lengths of time duringwhich the PMP device 200 is to record measurements of the physiologicalparameters. The interval controls 666 specify lengths of time that thePMP device 200 waits between recording measurements of the physiologicalparameters. In the example of FIG. 6A, the duration control 664 aindicates 1 hour and the interval control 666 a indicates 15 minutes.Consequently, the PMP device 200 records measurements of a physiologicalparameter at 15 minute intervals for one hour after the “Transfusion”interval program starts.

When the user selects an interval program using one of the intervalprogram selection controls 660, the user is able to change the values inthe program name control 662, the duration controls 664, and theinterval controls 666. For example, the user can change the value of theduration control 664 b from one hour to two hours.

FIG. 6B illustrates an example device pane 620 of the settings screen600. The settings screen 600 includes a device status area 312, a paneselection tab area 604, a device pane 520 and a navigation area 318. Thedevice status area 312, the pane selection tab area 604, and thenavigation area 318 appear like that of FIG. 6A.

The device pane 620 provides controls and information for a user toselect or view device characteristics. The device pane 620 includes aset date and time control 622, a touch-screen lock-out control 628, anda command button 629. The set date and time control 622 is configured toset up a date and time for the PMP device 200. A user may select a datedisplay format through the date format selection (not shown), such asMM/DD/YYYY. A user may also select a time zone offset from UTC based onwhere the PMP device 200 is located. The touch-screen lock-out control628 is configured to allow a user to lock out the touch screen. When thecommand button 629 is selected, the touch screen is locked outimmediately.

FIG. 6C illustrates an example clinician pane of the settings screen600. The settings screen 600 includes a device status area 312, a paneselection tab area 604, a clinician pane 630 and a navigation area 318.The device status area 312, the pane selection tab area 604 and thenavigation area 318 appear like that of FIG. 6A. The clinician pane 630provides for entry of clinician identification. The clinician identifiedcan include a first name, a last name, a middle initial, and anidentification number.

FIGS. 6D-6F illustrate an example profiles pane 640 of the settingsscreen 600. The settings screen 600 includes the device status area 312,a pane selection tab area 604, the profiles pane 640 and a navigationarea 318. The device status area 312, the pane selection tab area 604and the navigation area 318 appear like that of FIG. 6A. The profilespane 640 allows a user to select a desired workflow within which the PMPdevice 200 is to operate. In the examples of FIG. 6D-6F, the profilespane 640 includes a “Med/Surge” control 642, a “Spot Check” control 644,and an “ED Triage” control 646. A user selects the “Med/Surge” control642 to select a “Med/Surge” workflow as the workflow in which the PMPdevice 200 is to operate. The user selects the “Spot Check” control 644to select the spot check workflow as the workflow in which the PMPdevice 200 is to operate. The user selects the “ED triage” control 646to select the triage workflow as the workflow in which the PMP device200 is to operate. As shown in the examples of FIGS. 6D-6F, the profilespane 640 shows a preview of the home screen of the selected workflow.

FIG. 6G illustrates an example advanced pane 650 of the settings screen600. The settings screen 600 includes a device status area 312, a paneselection tab area 604, the advanced pane 650 and a navigation area 318.The device status area 312, the pane selection tab area 504 and thenavigation area 318 appear like that of FIG. 6A. The advanced pane 650enables an administrator to access configuration settings that arelikely to be set once or less frequently than those required for anormal use. When a proper access code is entered, the PMP device 200switches to an administration workflow and the navigation tabs switch toadvanced settings tabs. The advanced pane 650 also provides read-onlyinformation about the PMP device 200.

FIG. 7A illustrates an example global pane 710 of an alarms screen 700.A user of the PMP device 200 navigates to the alarms screen 700 byselecting the alarms tab 318 c. The alarms screen 700 includes controlsthat enable a user to configure global alarm settings andparameter-specific alarm settings.

As illustrated in the example of FIG. 7A, the alarms screen 700 includesthe device status area 312, a compressed parameter reporting area 702, apane selection tab area 704, the global pane 710, and the navigationarea 318. The device status area 312 appears like the device statusareas of the monitoring workflow home screen 300, the spot checkworkflow home screen 330 and the triage workflow home screen 360. Thenavigation area 318 of the alarms screen 700 appears like the navigationarea 318 of the monitoring workflow home screen 300.

The compressed parameter reporting area 702 contains one or morecompressed parameter frames containing data representing livephysiological parameters of a patient. In the example of FIG. 7A, thecompressed parameter reporting area 702 contains a compressed NIBP frame703 a, a compressed SpO2 frame 703 b, a compressed pulse rate frame 703c, and a compressed temperature frame 703 d. The compressed NIBP frame703 a, the compressed SpO2 frame 703 b, the compressed pulse rate frame703 c, and the compressed temperature frame 703 d are referred to hereincollectively as the compressed frames 703. The compressed parameterreporting area 702 has frame dimensions that are smaller than the framedimensions of the parameter reporting area 314 of the monitoringworkflow home screen 300. Because the compressed parameter reportingarea 702 is smaller than the parameter reporting area 314, thecompressed parameter reporting area 702 appears “squished” relative tothe parameter reporting area 314.

The compressed NIBP frame 703 a contains a representation of thesystolic and the diastolic blood pressure of the patient. The compressedSpO2 frame 703 b contains a representation of a SpO2 percentage of thepatient, a pulse amplitude blip bar, and alarm limits for the SpO2parameter. The compressed pulse rate frame 703 c contains arepresentation of a pulse rate of the patient. The compressedtemperature frame 703 d contains a representation of the bodytemperature of the patient. In the example of FIG. 7A, the compressedframes 703 do not contain user-selectable controls. Consequently, theuser is unable to toggle views of the physiological parameters from thecompressed frames 703.

When an alarm associated with one of the physiological parameters isactive, the corresponding one of the compressed frames 703 provides avisual indication of the alarm. For example, when the patient's bloodpressure is too high, a perimeter of the compressed NIBP frame 703 achanges from one color (e.g., gray) to a different color (e.g., red).Furthermore, when an alarm is active, the device status area 312 of thealarms screen 700 is replaced by an alarm message describing the alarm.In some embodiments, selecting the alarm message causes the PMP device200 to temporarily stop emitting an alarm sound associated with thealarm.

The pane selection tab area 704 includes five pane selection tabs thatare labeled “Global”, “NIBP”, “SpO2”, “Pulse” and “Temperature.” Whenthe user selects one of the pane selection tabs in the pane selectiontab area 704, the PMP device 200 updates the alarms screen 700 tocontain a pane associated with the selected pane selection tab.

The global pane 710 is located below the compressed parameter reportingarea 702. The global pane 710 provides controls for configuring globalalarm settings for the PMP device 200. The global alarm settings aresettings that apply to all alarms provided by the PMP device 200. In theexample of FIG. 7A, the global pane 710 includes a reset button 712 a, adisplay alarm limit parameter button 712 b, a set of alarm audio buttons712 c, a set of volume buttons 712 d, and a silence/reset button 712 e.A user can use the reset button 712 a to reset alarm limits. The usercan use the display alarm limit parameter button 712 b to configure thePMP device 200 to display or not to display alarm limits. The user canuse the set of alarm audio buttons 712 c to configure the PMP device 200to emit alarm sounds. The user can use the set of volume buttons 712 dto set a volume of the alarm sounds to high, medium or low. Also, theuser can use the silence/reset button 712 e to silence or reset alarms.

FIG. 7B illustrates an example temperature pane 720 of the alarms screen700. The alarms screen 700 includes the device status area 312, thecompressed parameter reporting area 702, the pane selection tab area704, the temperature pane 720, and a navigation area 318. The devicestatus area 312, the compressed parameter reporting area 702, the paneselection tab area 704 and the navigation area 318 appear like that ofFIG. 7A.

The temperature pane 720 is located below the compressed parameterreporting area 702. The temperature pane 720 enables a user of the PMPdevice 200 to configure parameter-specific alarm settings for thetemperature alarm. In the example of FIG. 7B, the temperature pane 720provides controls 722 a, 722 b and 722 c. The control 722 a sets thetemperature alarm to ON or OFF. The control 722 b sets an uppertemperature limit for the temperature alarm. The control 722 c sets alower temperature limit for the temperature alarm.

FIG. 7C illustrates an example NIBP pane 730 of the alarms screen 700.The alarms screen 700 includes a device status area 312, a compressedparameter reporting area 702, a pane selection tab area 704, the NIBPpane 730, and a navigation area 318. The device status area 312, thecompressed parameter reporting area 702, the pane selection tab area 704and the navigation area 318 appear like that of FIG. 7A.

The NIBP pane 730 enables a user of the PMP device 200 to configureparameter-specific alarm settings for the NIBP alarm. In the example ofFIG. 7C, the NIBP pane 730 contains a control 732 a to set the systolicand diastolic alarm ON or OFF. The NIBP pane 730 also contains controls732 b-732 e to set the systolic and diastolic upper and lower alarmlimits for the systolic and diastolic alarm. Further, the NIBP pane 730provides controls 732 f, 732 g and 732 h. The control 732 f sets a MAPalarm to ON or OFF. The control 732 g sets set an upper MAP limit forthe MAP alarm. The control 732 h sets a lower MAP limit for the MAPalarm.

FIG. 7D illustrates an example SpO2 pane 740 of the alarms screen 700.The alarms screen 700 includes the device status area 312, thecompressed parameter reporting area 702, the pane selection tab area704, the SpO2 pane 740, and the navigation area 318. The device statusarea 312, the compressed parameter reporting area 702, the paneselection tab area 704, and the navigation area 318 appear like that ofFIG. 7A.

The SpO2 pane 740 enables a user of the PMP device 200 to configureparameter-specific alarm settings for the SpO2 alarm. In the example ofFIG. 7D, the SpO2 pane 740 provides controls 742 a, 742 b and 742 c. Thecontrol 742 a sets the SpO2 alarm to ON or OFF. The controls 742 b and742 c set an upper SpO2 limit and a lower SpO2 limit for the SpO2 alarm.The SpO2 pane 740 also includes a SatSeconds™ control 743 d. When anumeric value is selected, an SpO2 alarm is not activated until a lengthof time specified by the SatSeconds control 743 d has expired. Thelength of time specified by the SatSeconds control 743 d is based on aduration of a low SpO2 event multiplied by a number of percentage pointsthat the patient's SpO2 falls outside the lower SpO2 alarm threshold.Also, the SatSeconds control 743 d appears next to the controls 742 band 742 c when the control 742 a is set to ON. However, when the control742 a is set to OFF, the SatSeconds control 743 d is not displayed andthe alarm condition is not delayed per a SatSeconds algorithm.

FIG. 7E illustrates an example pulse rate pane 750 of the alarms screen700. The alarms screen 700 includes the device status area 312, thecompressed parameter reporting area 702, the pane selection tab area704, the pulse rate pane 750 and the navigation area 318. The devicestatus area 312, the compressed parameter reporting area 702, the paneselection tab area 704 and the navigation area 318 appear like that ofFIG. 7A.

The pulse rate pane 750 enables a user of the PMP device 200 toconfigure parameter-specific alarm settings for the pulse rate alarm. Inthe example of FIG. 7E, the pulse rate pane 750 provides an on/offcontrol 752 a, an upper limit control 752 b and a lower limit control752 c. The on/off control 752 a allows a user to turn the pulse ratealarm on or off. The upper limit control 752 b allows a user to set anupper pulse rate limit for the pulse rate alarm. The lower limit control752 c allows a user to set a lower pulse rate limit for the pulse ratealarm.

The upper limit control 752 b includes a numerical portion, an up buttonand a down button. The numerical portion of the upper limit control 752b specifies an upper pulse rate limit for the pulse rate alarm.Selecting the up button of the upper limit control 752 b incrementallyincreases the upper pulse rate limit. Selecting the down button of theupper limit control 752 b incrementally decreases the upper pulse ratelimit. Selecting the numerical portion of the upper limit control 752 bcauses the PMP device 200 to display a numerical keypad. The user isable to use the numerical keypad to manually enter a value for the upperpulse rate limit.

The lower limit control 752 c includes a numerical portion, an upbutton, and a down button. The numerical portion of the lower limitcontrol 752 c specifies the lower pulse rate limit. Selecting the upbutton of the lower limit control 752 c incrementally increases thelower pulse rate limit. Selecting the down button of the lower limitcontrol 752 c incrementally decreases the lower pulse rate limit.Selecting the numerical portion of the lower limit control 752 c causesthe PMP device 200 to display a numerical keypad. The user is able touse the numerical keypad to manually enter a value for the lower pulserate limit.

In the examples shown, the values that are entered by the user arevalidated for accuracy. For example, upper and lower thresholds for eachparameter can be set. If the user selects a value outside of the upperand lower thresholds, the system can prevent such a selection and/oralert the user. For example, if the user types in 300 minutes on thekeypad for a parameter, and the upper threshold set for that parameteris 240 minutes, the system will not allow the user to increase theparameter to 300 minutes.

In some embodiments, various panes of the alarms screen 700 can includeother upper limit controls and other lower limit controls like the upperlimit control 752 b and the lower limit control 752 c. The other upperlimit controls and the other lower limit controls allow a user to setupper limits and lower limits for alarms for various physiologicalparameters of patients.

When the PMP device 200 is in a continuous workflow mode, the homescreen 250 can display the information described above. Such informationcan include continuous measurements, such as SpO2, PR, etCO2, FiCO2,IPI, RR and/or SpHb.

The pulse rate can be obtained from two sources, an SpO2 or NIBPreading, with the reading from SpO2 having higher priority for display.If SpO2 readings are available, then pulse rate is displayed and updatedonce per second with SpO2 as the source. If no SpO2 readings areavailable and an NIBP reading is started, then the pulse rate is clearedwhen the NIBP frame is cleared and then updated with a pulse rate fromNIBP when it is available, likely when systolic/diastolic is available,with NIBP as the source. Such a reading would be episodic, as describedbelow.

Referring to FIG. 8, the SpO2 frame 256 is shown. The SpO2 frame 256provides a variety of information, such as a percentage SpO2 780 (e.g.,“100%”).

In addition, a pulse amplitude blip bar 782 is shown. The pulseamplitude blip bar 782 indicates a pulse beat of the patient and showsthe relative pulse amplitude. As the detected pulse becomes stronger,more bars light up with each pulse. The example pulse amplitude blip bar782 provides 9 bars, and blip values are divided equally into the numberof bars. Brighter, more visually intense bars indicate values receivedfrom the SpO2 sensor, and their growth vertically up the bar indicatesgreater levels of strength. Remaining bars are indicated as darker, lessprominent, inactive bars. All the bars are displayed darker when no SpO2activity or signal is available.

In addition, a plethysmographic waveform 784 is shown. Theplethysmographic waveform 784 can be selected by the user to provide alarger representation of the waveform. The plethysmographic waveform 784provides the real-time sensor signal. It allows a user to observe therelative pulsatile strength and quality of the incoming signal. Thewaveform is displayed per configured sweep speed, which appears aboveand to right side of waveform display area (except when the smallestframe size for continuous profile is displayed—in this case the sweepspeed may not be displayed).

Referring to FIG. 9, an example SpHb (measuring total hemoglobinconcentration in blood) frame 790 is shown, which presents measuresassociated with total hemoglobin readings. In this example, the SpHbframe 790 shows the current SpHb reading (e.g., “10.9”), along withalarm limits (e.g., “7.0” to “12.0”). An SpHb trend graphic provides ahistorical view of total hemoglobin readings over the displayed viewtime. Selection of the graphic on the SpHb frame 790 provides a largertrend graphic illustrating the change over time with the upper and lowerlimits set as the configured alarm limits.

Referring to FIGS. 10A-10B, the etCO2 frame 264 displays data,information, and controls relevant for etCO2 and FiCO2 readings capture,as well as a CO2 waveform. The etCO2 frame 264 provides views with textand graphics, including a Capnogram waveform.

When the Capnogram is selected, the waveform frame 265 is shown,including real-time sensor signal. It allows a user to observe thebreathing patterns of the patient for instant determination of adequateventilation versus hyper/hypo ventilation conditions. The waveform isdisplayed per the default sweep speed, which appears above and to rightside of waveform display area.

Referring now to FIGS. 11A-11B, the IPI frame 254 encapsulates data,information, and controls relevant for display of IPI readingscalculated using CO2, RR, SpO2, and PR readings. It provides views withtext and graphics including numeric and trend graph, with the numericview being primary and the trend graph view being secondary. IPI numericreadings are calculated for Adult patient types, and differentclassifications of pediatric patient types.

If the trend graphic is selected, an historical trend 255 is shown, asillustrated in FIG. 11B. The IPI trend graphic will provide IPI valueson the y-axis and time on the x-axis. The y-axis upper (y-max) limit is10 and the lower (y-min) limit is 0. The trend graph will continue toshow no data until a patient has been connected to the CO2 sensor, a‘valid breath’ has been received, and CO2, RR, SpO2, and PR readingsrequired for the IPI calculation are available. Blank areas may appearin trend if sensor is not calculating/sending IPI readings to thedevice. The oldest to newest readings appear from left to right, withthe most recent readings appearing beginning with the rightmost portionof the display area for the trend graphic.

Referring to FIGS. 12A-12B, the RR frame 262 is shown, whichencapsulates data, information, and controls relevant for respirationreadings capture. It provides a view with text and graphics.

As shown in FIG. 12B, in some instances, a respiration rate indicatorgraph 263 is shown. The respiration rate indicator graph 263 indicatesthe acquired signal quality and the respiration rate. As the detectedrespiration becomes stronger, more bars light up with each breath.

In some examples, the home screen 250 can display both continuous dataand episodic data. For example, in typical scenarios, both continuousmeasurements and episodic measurements may be taken from a patient, andthe information displayed on the home screen 250 can include episodicinformation that is not obtained in a continuous manner. One example ofsuch an episodic parameter is NIBP. Another example is temperature (ifnot measured continuously).

For example, referring now to FIGS. 13A-13B, an NIPB frame 796 of thehome screen 250 is shown. The data associated with the NIPB measurementsis episodic, in that it is typically measured at given intervals, suchas every 5 minutes, 10 minutes, 15 minutes 30 minutes, 1 hour, etc. Asthe data provided in the NIBP frame 796 ages, an indication of thataging is provided.

For example, in FIG. 13A, the measurements shown in the NIBP frame 796are current, in that the measurements were taken within a giventhreshold of time, such as 10 minutes or 15 minutes. In other words, themeasurements shown are less than 15 minutes old. This is indicated bydisplaying the data (e.g., “120/80”) in a brighter color, such as ayellow.

In contrast, as shown in FIG. 13B, the NIPB measurements shown in theNIBP frame 796 have aged. In other words, after episodic measurementshave been displayed for a given threshold (e.g., 15 minutes) without newmeasurement data being provided, the measurement data on the NIBP frame796 changes from its current color to gray, and a timestamp (e.g., “@10:58”) is displayed in the bottom of the NIBP frame 796 to indicatewhen the last measurements were taken. This allows the caregiver toeasily determine that the displayed data may not be current. Otherconfigurations can also be used to indicate aging of measurements.

For example, if measurements associated with continuous data areinterrupted, the home screen 250 can be configured to provide the lastknown measurements, as well as indicate that such measurements have agedby providing indicia, such as changing color and providing a time stamp,as described above.

In addition, other modifications can be made to the various home screensdescribed herein. For example, in some instances, as described furtherabove, the type and amount of measurements shown on the home screen 250can be modified depending on the type of view shown.

For example, in compressed or squished views, such as when alarminformation is shown, only certain of the information associated withthe parameters measured during the continuous workflow is shown. Forexample, in the compressed view of the home screen 250, SpO2 (and theassociated pulse amplitude blip bar) and pulse rate are typicallydisplayed.

However, for the home screen 250, when CO2 is shown, FiCO2 is notdisplayed in the compressed view, and the various other parameters aredisplayed in the following priority order (with up to five parametersshown at a given time): IPI/RR/SpO2/etCO2/PR/NIBP/Temp. When RRa(acoustic respiration rate) is shown on the home screen 250, theparameters are displayed in the following priority order:RRa/SpO2/PR/NIBP/Temp. Other configurations are possible.

In example embodiments, the desired workflow can be selected for the PMPdevice 200 based on operating conditions. For example, the continuousworkflow can be selected if one or more sensors which measure continuousdata are connected to the PMP device 200. In such a scenario, themeasurements are displayed on the PMP device 200 and/or sent to acentral site for storage, such as the EMR system 102.

In other embodiments, transitions between the various workflows canoccur depending on the operating characteristics for the PMP device 200.For example, once a sensor associated with measuring continuous data isconnected to the PMP device 200, the PMP device 200 can be configured totransition from a non-continuous workflow (e.g., monitoring workflow ornon-monitoring workflow) to a continuous workflow. Additional detailsabout such transitions are provided in U.S. patent application Ser. No.13/440,860, filed on Apr. 5, 2012, the entirety of which is herebyincorporated by reference.

FIG. 14 is a flowchart illustrating an example operation 800 performedby the PMP device 200. As illustrated in the example of FIG. 14, theoperation 800 begins when the PMP device 200 displays the settingsscreen 600 (802). The PMP device 200 then receives workflow selectioninput from a clinician via the settings screen 600 (804). In response toreceiving the workflow selection input, the PMP device 200 determineswhether the workflow selection input indicates the monitoring workflow,the triage workflow, the spot check workflow, or the continuous workflow(806). If the PMP device 200 determines that the workflow selectioninput indicates the triage workflow, the PMP device 200 performs thesteps illustrated in FIG. 15. If the PMP device 200 determines that theworkflow selection input indicates the continuous workflow, the PMPdevice 200 performs the steps illustrated in FIG. 16.

If the PMP device 200 determines that the workflow selection inputindicates the monitoring workflow, the PMP device 200 displays thepatient selection screen 400 (808). The PMP device 200 then receivespatient selection input from the clinician via the patient selectionscreen 400 (810). The patient selection input indicates a patient thatthe clinician intends to monitor.

Next, the PMP device 200 displays the monitoring workflow home screen300 (812). In some embodiments, the PMP device 200 displays themonitoring workflow home screen 300 automatically after the clinicianselects the monitored patient via the patient selection screen 400. Inother embodiments, the PMP device 200 displays the monitoring workflowhome screen 300 in response to the clinician selecting the home tab 318a.

Subsequently, the PMP device 200 obtains a measurement of aphysiological parameter of the monitored patient (814). The PMP device200 then displays a representation of the physiological parameter on themonitoring workflow home screen 300 (816). The representation of thephysiological parameter is based, at least in part, on the measurementof the physiological parameter. The PMP device 200 then obtains anothermeasurement of the physiological parameter from the same monitoredpatient (814). In this way, the PMP device 200 enables the clinician tomonitor the physiological parameters of the same monitored patient overa period of time.

If, however, the PMP device 200 determines that the workflow selectioninput indicates the spot check workflow, the PMP device 200 displays thepatient selection screen 400 (818). In various embodiments, the PMPdevice 200 displays the patient selection screen 400 in response tovarious events. For example, in some embodiments, the PMP device 200automatically displays the patient selection screen 400 when the PMPdevice 200 determines that the workflow selection input indicates thespot check workflow. In another example, the PMP device 200 displays thepatient selection screen 400 in response to receiving a selection of thepatients tab 318 b.

The PMP device 200 then receives patient selection input from theclinician via the patient selection screen 400 (820). The patientselection input indicates a selected patient. The selected patient is apatient on whom the clinician intends to perform a spot check.

Next, the PMP device 200 displays the spot check workflow home screen330 (822). In various embodiments, the PMP device 200 displays the spotcheck workflow home screen 330 in response to various events. Forexample, in some embodiments, the PMP device 200 automatically displaysthe spot check workflow home screen 330 when the PMP device 200 receivesthe patient selection input from the clinician. In other embodiments,the PMP device 200 displays the spot check workflow home screen 330 inresponse to receiving a selection of the home tab 318 a.

The PMP device 200 then obtains a measurement of a physiologicalparameter of the selected patient (824). In response to obtaining themeasurement of the physiological parameter of the selected patient, thePMP device 200 displays a representation of the physiological parameterof the selected patent (826). The representation of the physiologicalparameter is based, at least in part, on the measurement of thephysiological parameter.

Subsequently, the PMP device 200 clears the home screen data from thespot check workflow home screen 330 (828). The PMP device 200 thendisplays the patient selection screen 400 again (818) and receivespatient selection input indicating another patient (818), and so on. Inthis way, the PMP device 200 displays representations of physiologicalparameters of each patient in a series of patients.

FIG. 15 is a flowchart representing a continuation of the operation 800in which the workflow selection input indicates the triage workflow. Asillustrated in the example of FIG. 15, if the PMP device 200 determinesthat the workflow selection input indicates the triage workflow, the PMPdevice 200 displays the triage workflow home screen 360 (900). Invarious embodiments, the PMP device 200 displays the triage workflowhome screen 360 in response to various events. For example, in someembodiments, the PMP device 200 automatically displays the triageworkflow home screen 360 when the PMP device 200 determines that theworkflow selection input indicates the triage workflow. In anotherexample, the PMP device 200 displays the triage workflow home screen 360when the PMP device 200 receives a selection of the home tab 318 a.

Next, the PMP device 200 obtains a measurement of a physiologicalparameter of an unidentified patient in a series of patients (902).After obtaining the measurement, the PMP device 200 displays arepresentation of the physiological parameter on the triage workflowhome screen 360 (904). The representation of the physiological parameteris based at least in part on the measurement of the physiologicalparameter.

Subsequently, the PMP device 200 clears the home screen data from thetriage workflow home screen 360 (906). The PMP device 200 then obtains ameasurement of the physiological parameter of a different patient in theseries of unidentified patients (902), displays a representation of thephysiological parameter (904), and so on. In this way, the PMP device200 displays representations of physiological parameters of each patientin the series of unidentified patients.

FIG. 16 is a flowchart representing a continuation of the operation 800in which the workflow selection input indicates the continuous workflow.As illustrated in the example of FIG. 16, if the PMP device 200determines that the workflow selection input indicates the continuousworkflow, the PMP device 200 displays the continuous workflow homescreen 250 (910). In various embodiments, the PMP device 200 displaysthe continuous workflow home screen 250 in response to various events.For example, in some embodiments, the PMP device 200 automaticallydisplays the continuous workflow home screen 250 when the PMP device 200determines that the workflow selection input indicates the continuousworkflow. In another example, the PMP device 200 displays the continuousworkflow home screen 250 when the PMP device 200 receives a selection ofthe home tab 318 a.

Next, the PMP device 200 obtains measurements of physiologicalparameters of an identified patient (912). After obtaining themeasurements, the PMP device 200 displays a representation of thephysiological parameters on the continuous workflow home screen 250(914). The representation of the physiological parameters is based atleast in part on the measurement of the physiological parameters. Thehome screen 250 continues to disclose the physiological parameters asthese parameters are continuously obtained from the patient by the PMPdevice 200.

FIG. 17 is a flowchart illustrating an operation 1000 performed by thePMP device 200 when the PMP device 200 displays a workflow home screen.In some embodiments, the PMP device 200 can perform the operation 1000when the PMP device 200 displays either the monitoring workflow homescreen 300, the spot check workflow home screen 330, or the triageworkflow home screen 360.

As illustrated in the example of FIG. 17, the PMP device 200 initiallywaits to receive an event (1002). An event is an occurrence or happeningof significance to a task or program.

The PMP device 200 receives a measurement event when the PMP device 200receives a measurement of a physiological parameter of a patient. If thePMP device 200 receives a measurement event (“YES” of 1004), the PMPdevice 200 determines whether the measurement of the physiologicalparameter is within an alarm range for the physiological parameter(1006). If the measurement of the physiological parameter is not within(i.e., is outside) the alarm range for the physiological parameter (“NO”of 1006), the PMP device 200 displays an alarm message on the workflowhome screen (1008). In addition, the PMP device 200 emits an alarm sound(1010).

The PMP device 200 also generates a representation of the physiologicalparameter based on the measurement of the physiological parameter(1012). The PMP device 200 generates the representation of thephysiological parameter regardless of whether the measurement is withinthe alarm range of the physiological parameter. The PMP device 200 thendisplays the representation of the physiological parameter on theworkflow home screen (1014). The PMP device 200 then waits for anotherevent (1002).

The PMP device 200 can receive an alarm message selection event when thePMP device 200 displays an alarm message, there are two or more activealarms, and a clinician selects the alarm message. If the PMP device 200receives an alarm message selection event (“YES” of 1016), the PMPdevice 200 modifies the alarm message such that the alarm messagedescribes a next one of the active alarms (1018). The PMP device 200then waits for another event (1002).

The PMP device 200 can receive an alarm silence event when an alarm iscurrently active, the PMP device 200 is emitting an alarm sound, and aclinician selects a control to suspend the alarm sound. If the PMPdevice 200 receives an alarm silence event (“YES” of 1020), the PMPdevice 200 suspends the alarm sound (1022). In addition, the PMP device200 modifies the alarm message to indicate that the alarm has beensilenced (1024). The PMP device 200 then waits for another event (1002).

The PMP device 200 can receive a representation selection event when aclinician selects a representation of a physiological parameter. If thePMP device 200 receives a representation selection event (“YES” of1026), the PMP device 200 modifies a parameter reporting area associatedwith the physiological parameter such that the parameter reporting areacontains a different representation of the physiological parameter(1028). The PMP device 200 then waits for another event (1002).

The PMP device 200 can receive a save selection event when a clinicianselects a save button (e.g., save button 316 g) on the workflow homescreen. If the PMP device 200 receives a save selection event (“YES” of1030), the PMP device 200 saves the home screen data (1032). The PMPdevice 200 then waits for another event (1002).

FIG. 18 illustrates example physical components of the PMP device 200.As illustrated in the example of FIG. 18, the PMP device 200 include atleast one central processing unit (“CPU”) 1108, a system memory 1112,and a system bus 1110 that couples the system memory 1112 to the CPU1108. The system memory 1112 includes a random access memory (“RAM”)1118 and a read-only memory (“ROM”) 1120. A basic input/output systemcontaining the basic routines that help to transfer information betweenelements within the PMP device 200, such as during startup, is stored inthe ROM 1120. The PMP device 200 further includes a mass storage device1114. The mass storage device 1114 is able to store softwareinstructions and data.

The mass storage device 1114 is connected to the CPU 1108 through a massstorage controller (not shown) connected to the bus 1110. The massstorage device 1114 and its associated computer-readable data storagemedia provide non-volatile, non-transitory storage for the PMP device200. Although the description of computer-readable data storage mediacontained herein refers to a mass storage device, such as a hard disk orCD-ROM drive, it should be appreciated by those skilled in the art thatcomputer-readable data storage media can be any availablenon-transitory, physical device or article of manufacture from which thePMP device 200 can read data and/or instructions.

Computer-readable data storage media include volatile and non-volatile,removable and non-removable media implemented in any method ortechnology for storage of information such as computer-readable softwareinstructions, data structures, program modules or other data. Exampletypes of computer-readable data storage media include, but are notlimited to, RAM, ROM, EPROM, EEPROM, flash memory or other solid statememory technology, CD-ROMs, digital versatile discs (“DVDs”), otheroptical storage media, magnetic cassettes, magnetic tape, magnetic diskstorage or other magnetic storage devices, or any other medium which canbe used to store the desired information and which can be accessed bythe PMP device 200.

According to various embodiments of the disclosure, the PMP device 200may operate in a networked environment using logical connections toremote network devices through the network 108, such as a local network,the Internet, or another type of network. The PMP device 200 connects tothe network 108 through a network interface unit 1116 connected to thebus 1110. It should be appreciated that the network interface unit 1116may also be utilized to connect to other types of networks and remotecomputing systems. The PMP device 200 also includes an input/outputcontroller 1122 for receiving and processing input from a number ofother devices, including a keyboard, a mouse, a touch user interfacedisplay screen, or another type of input device. Similarly, theinput/output controller 1122 may provide output to a touch userinterface display screen, a printer, or other type of output device.

As mentioned briefly above, the mass storage device 1114 and the RAM1118 of the PMP device 200 can store software instructions and data. Thesoftware instructions include an operating system 1132 suitable forcontrolling the operation of the PMP device 200. The mass storage device1114 and/or the RAM 1118 also store software instructions, that whenexecuted by the CPU 1108, cause the PMP device 200 to provide thefunctionality of the PMP device 200 discussed in this document. Forexample, the mass storage device 1114 and/or the RAM 1118 can storesoftware instructions that, when executed by the CPU 1108, cause the PMPdevice to display the monitoring workflow home screen 300 and otherscreens.

It should be appreciated that various embodiments can be implemented (1)as a sequence of computer implemented acts or program modules running ona computing system and/or (2) as interconnected machine logic circuitsor circuit modules within the computing system. The implementation is amatter of choice dependent on the performance requirements of thecomputing system implementing the disclosure. Accordingly, logicaloperations including related algorithms can be referred to variously asoperations, structural devices, acts or modules. It will be recognizedby one skilled in the art that these operations, structural devices,acts and modules may be implemented in software, firmware, specialpurpose digital logic, and any combination thereof without deviatingfrom the spirit and scope of the present disclosure as recited withinthe claims set forth herein.

Although the disclosure has been described in connection with variousembodiments, those of ordinary skill in the art will understand thatmany modifications may be made thereto within the scope of the claimsthat follow. For example, it should be appreciated that the screensillustrated in this document are merely examples and that in otherembodiments equivalent screens can have different contents andappearances. Accordingly, it is not intended that the scope of thedisclosure in any way be limited by the above description, but insteadbe determined entirely by reference to the claims that follow.

What is claimed is:
 1. A physiological measuring platform (PMP) devicecomprising: a central processing unit (CPU) that is configured tocontrol operation of the PMP device; a display screen; an oxygensaturation module; a non-invasive blood pressure module; and a set ofone or more computer readable data storage media storing softwareinstructions that, when executed by the CPU, cause the PMP device to:determine a pulse rate of a patient, the pulse rate being determinedfrom SpO2 data from the oxygen saturation module when available, and thepulse rate being determined from NIBP data from the non-invasive bloodpressure module when the SpO2 data is unavailable; display, on thedisplay screen, a pulse rate frame including a numeric value for thepulse rate and a label indicating a source of the pulse rate, the sourcebeing the oxygen saturation module or the non-invasive blood pressuremodule.
 2. The PMP device of claim 1, wherein the software instructions,when executed by the CPU, further cause the PMP device to update thenumeric value for the pulse rate once per second when the pulse rate isdetermined from the SpO2 data.
 3. The PMP device of claim 2, wherein thesoftware instructions, when executed by the CPU, further cause the PMPdevice to update the numeric value for the pulse rate once when thepulse rate is determined from the NIBP data.
 4. The PMP device of claim1, wherein the software instructions, when executed by the CPU, furthercause the PMP device to update the numeric value for the pulse rate oncewhen the pulse rate is determined from the NIBP data.
 5. The PMP deviceof claim 1, wherein the software instructions, when executed by the CPU,further cause the PMP device to, upon selection of the pulse rate frame,display a waveform in the pulse rate frame, the waveform representingthe pulse rate over time.
 6. The PMP device of claim 5, wherein thesoftware instructions, when executed by the CPU, further cause the PMPdevice to, upon further selection of the pulse rate frame, display thenumeric value for the pulse rate. The PMP device of claim 1, wherein theSpO2 data is continuous data.
 8. The PMP device of claim 1, wherein theNIBP data is episodic data.
 9. The PMP device of claim 1, wherein thepulse rate frame is displayed on the display as part of a continuousworkflow home screen.
 10. The PMP device of claim 9, wherein the PMPdevice includes an intervals monitoring workflow, a non-monitoringworkflow, and a continuous workflow.
 11. A non-transitorycomputer-readable storage medium comprising software instructions that,when executed, cause a physiological measurement platform (PMP) deviceto: determine a pulse rate of a patient, the pulse rate being determinedfrom SpO2 data from an oxygen saturation module when available, and thepulse rate being determined from NIBP data from a non-invasive bloodpressure module when the SpO2 data is unavailable; display, on a displayscreen, a pulse rate frame including a numeric value for the pulse rateand a label indicating a source of the pulse rate, the source being theoxygen saturation module or the non-invasive blood pressure module. 12.The non-transitory computer-readable storage medium of claim 11, furthercomprising software instructions that, when executed, cause the PMPdevice to update the numeric value for the pulse rate once per secondwhen the pulse rate is determined from the SpO2 data.
 13. Thenon-transitory computer-readable storage medium of claim 12, furthercomprising software instructions that, when executed, cause the PMPdevice to update the numeric value for the pulse rate once when thepulse rate is determined from the NIBP data.
 14. The non-transitorycomputer-readable storage medium of claim 11, further comprisingsoftware instructions that, when executed, cause the PMP device toupdate the numeric value for the pulse rate once when the pulse rate isdetermined from the NIBP data.
 15. The PMP device of claim 1, whereinthe software instructions, when executed by the CPU, further cause thePMP device to, upon selection of the pulse rate frame, display awaveform in the pulse rate frame, the waveform representing the pulserate over time.
 16. The non-transitory computer-readable storage mediumof claim 15, further comprising software instructions that, whenexecuted, cause the PMP device to, upon further selection of the pulserate frame, display the numeric value for the pulse rate.
 17. Thenon-transitory computer-readable storage medium of claim 11, wherein theSpO2 data is continuous data.
 18. The non-transitory computer-readablestorage medium of claim 11, wherein the NIBP data is episodic data. 19.The non-transitory computer-readable storage medium of claim 11, whereinthe pulse rate frame is displayed on the display as part of a continuousworkflow home screen.
 20. The non-transitory computer-readable storagemedium of claim 19, wherein the PMP device includes an intervalsmonitoring workflow, a non-monitoring workflow, and a continuousworkflow.